CHAD T MILLSAP OD - Optometrist License in Illinois | # 047931125

CHAD T MILLSAP OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931125

License Status

NOT RENEWED

Business

N

First Name

CHAD

Middle

T

Last Name

MILLSAP

Suffix

OD

Business Name

CHAD T MILLSAP OD

Original Issue Date

04/21/2005

Effective Date

01/18/2006

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008