DAVID SIMON Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046005969

License Status

NOT RENEWED

Business

First Name

DAVID

Last Name

SIMON

Business Name

DAVID SIMON

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

09/11/2005

Case Number

1996012043

Action

Reprimand

Discipline Start Date

05/30/1997

Discipline Reason

Failed to submit sufficient proof of required continuing education hours during a Department audit.