THEODORE P GROSVENOR Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007048

License Status

NOT RENEWED

Business

First Name

THEODORE P

Last Name

GROSVENOR

Business Name

THEODORE P GROSVENOR

Original Issue Date

02/24/1978

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

08/31/2005