NATHAN ALAN CROUCH OD - Optometrist License in Illinois | # 047930857

NATHAN ALAN CROUCH OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930857

License Status

NOT RENEWED

Business

N

Title

OD

First Name

NATHAN

Middle

ALAN

Last Name

CROUCH

Business Name

NATHAN ALAN CROUCH OD

Original Issue Date

01/14/2005

Effective Date

01/14/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006