HENRY R MOORE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046004204

License Status

NOT RENEWED

Business

Title

First Name

HENRY

Middle

Last Name

MOORE

Business Name

HENRY R MOORE OD

Original Issue Date

04/01/1947

Effective Date

03/17/2010

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60609

County

COOK

Ever Disciplined

LastModifiedDate

05/16/2012