LELAND DAVID PETERSON OD - Optometrist License in Illinois | # 047934233

LELAND DAVID PETERSON OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934233

License Status

CANCELLED

Business

N

First Name

LELAND

Middle

DAVID

Last Name

PETERSON

Suffix

OD

Business Name

LELAND DAVID PETERSON OD

Original Issue Date

05/21/2008

Effective Date

05/21/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010