JOSEPH L LONG OD - Optometrist License in Illinois | # 046006630

JOSEPH L LONG OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006630

License Status

NOT RENEWED

Business

N

First Name

JOSEPH

Middle

L

Last Name

LONG

Suffix

OD

Business Name

JOSEPH L LONG OD

Original Issue Date

08/14/1974

Effective Date

02/14/2012

Expiration Date

03/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2014