KURTIS M CARLSON - Optometrist License in Illinois | # 047930770

KURTIS M CARLSON

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930770

License Status

NOT RENEWED

Business

N

First Name

KURTIS M

Last Name

CARLSON

Business Name

KURTIS M CARLSON

Original Issue Date

12/09/2004

Effective Date

01/18/2006

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008