JOSEPH L LONG OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006630

License Status

NOT RENEWED

Business

First Name

JOSEPH

Middle

Last Name

LONG

Suffix

Business Name

JOSEPH L LONG OD

Original Issue Date

08/14/1974

Effective Date

02/14/2012

Expiration Date

03/31/2014

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/06/2014