CLYDE RICHARD BREWER Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006711

License Status

NOT RENEWED

Business

First Name

CLYDE RICHARD

Last Name

BREWER

Business Name

CLYDE RICHARD BREWER

Original Issue Date

07/18/1975

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

08/31/2005