DAVID L ANDERSON - Optometrist License in Illinois | # 34*****07

DAVID L ANDERSON

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****07

License Status

NOT RENEWED

Business

N

First Name

DAVID L

Last Name

ANDERSON

Business Name

DAVID L ANDERSON

Original Issue Date

11/05/1999

Effective Date

01/18/2006

Expiration Date

03/31/2008

State

IL

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

N

LastModifiedDate

05/02/2008