ANTHONY JOSEPH SMITH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010225

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

JOSEPH

Last Name

SMITH

Suffix

Business Name

ANTHONY JOSEPH SMITH OD

Original Issue Date

06/22/2009

Effective Date

01/26/2010

Expiration Date

03/31/2012

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/16/2012