DAVID H ELLIS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007963

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

ELLIS

Suffix

Business Name

DAVID H ELLIS OD

Original Issue Date

08/20/1986

Effective Date

02/25/2014

Expiration Date

03/31/2016

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/20/2016