KENT MICHAEL DAUM OD - Optometrist License in Illinois | # 047935408

KENT MICHAEL DAUM OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935408

License Status

CANCELLED

Business

N

Title

OD

First Name

KENT

Middle

MICHAEL

Last Name

DAUM

Business Name

KENT MICHAEL DAUM OD

Original Issue Date

06/12/2009

Effective Date

06/12/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010