DONALD WADE HENDERSON OD - Optometrist License in Illinois | # 047931696

DONALD WADE HENDERSON OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931696

License Status

CANCELLED

Business

N

First Name

DONALD

Middle

WADE

Last Name

HENDERSON

Suffix

OD

Business Name

DONALD WADE HENDERSON OD

Original Issue Date

02/15/2006

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010