CHAD ALLEN CARLSSON OD - Optometrist License in Illinois | # 047929663

CHAD ALLEN CARLSSON OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929663

License Status

NOT RENEWED

Business

N

First Name

CHAD

Middle

ALLEN

Last Name

CARLSSON

Suffix

OD

Business Name

CHAD ALLEN CARLSSON OD

Original Issue Date

09/17/2003

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005