DAVID JOHN ANDERSON OD - Optometrist License in Illinois | # 047935876

DAVID JOHN ANDERSON OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935876

License Status

CANCELLED

Business

N

First Name

DAVID

Middle

JOHN

Last Name

ANDERSON

Suffix

OD

Business Name

DAVID JOHN ANDERSON OD

Original Issue Date

11/24/2009

Effective Date

11/24/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010