JOSHUA LEE KORSGARDEN OD - Optometrist License in Illinois | # 047930401

JOSHUA LEE KORSGARDEN OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930401

License Status

CANCELLED

Business

N

First Name

JOSHUA

Middle

LEE

Last Name

KORSGARDEN

Suffix

OD

Business Name

JOSHUA LEE KORSGARDEN OD

Original Issue Date

07/19/2004

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010