JOSHUA LEE KORSGARDEN OD - Optometrist License in Illinois | # 047935905

JOSHUA LEE KORSGARDEN OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935905

License Status

CANCELLED

Business

N

First Name

JOSHUA

Middle

LEE

Last Name

KORSGARDEN

Suffix

OD

Business Name

JOSHUA LEE KORSGARDEN OD

Original Issue Date

12/17/2009

Effective Date

12/17/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010