ROSS W MLSNA OD - Optometrist License in Illinois | # 047930181

ROSS W MLSNA OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930181

License Status

NOT RENEWED

Business

N

First Name

ROSS

Middle

W

Last Name

MLSNA

Suffix

OD

Business Name

ROSS W MLSNA OD

Original Issue Date

05/26/2004

Effective Date

05/26/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006