KRISTOPHER LEE GLANVILLE - Optometrist License in Illinois | # 047935418

KRISTOPHER LEE GLANVILLE

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935418

License Status

CANCELLED

Business

N

First Name

KRISTOPHER

Middle

LEE

Last Name

GLANVILLE

Business Name

KRISTOPHER LEE GLANVILLE

Original Issue Date

06/17/2009

Effective Date

06/17/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010