VINCENT M DO OD - Optometrist License in Illinois | # 047930359

VINCENT M DO OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930359

License Status

CANCELLED

Business

N

First Name

VINCENT

Middle

M

Last Name

DO

Suffix

OD

Business Name

VINCENT M DO OD

Original Issue Date

06/29/2004

Effective Date

06/29/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

01/18/2006