JAMES G CUSTARD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047003219

License Status

CANCELLED

Business

First Name

JAMES G

Last Name

CUSTARD

Business Name

JAMES G CUSTARD

Original Issue Date

04/24/1973

Expiration Date

05/01/1982

City

WORTH

State

Zip

60482

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005