BODIE K GODWIN OD - Optometrist License in Illinois | # 047929983

BODIE K GODWIN OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929983

License Status

NOT RENEWED

Business

N

First Name

BODIE

Middle

K

Last Name

GODWIN

Suffix

OD

Business Name

BODIE K GODWIN OD

Original Issue Date

02/18/2004

Effective Date

02/18/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006