JOSHUA LEE KORSGARDEN OD - Optometrist License in Illinois | # 047930804

JOSHUA LEE KORSGARDEN OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930804

License Status

NOT RENEWED

Business

N

First Name

JOSHUA

Middle

LEE

Last Name

KORSGARDEN

Suffix

OD

Business Name

JOSHUA LEE KORSGARDEN OD

Original Issue Date

12/20/2004

Effective Date

12/20/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006