ERIC JOHN LEAVITT OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010313

License Status

NOT RENEWED

Business

Title

First Name

ERIC

Middle

JOHN

Last Name

LEAVITT

Business Name

ERIC JOHN LEAVITT OD

Original Issue Date

02/19/2010

Effective Date

01/31/2012

Expiration Date

03/31/2014

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2014