WALTER GOODPASTER Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047003514

License Status

CANCELLED

Business

First Name

WALTER

Last Name

GOODPASTER

Business Name

WALTER GOODPASTER

Original Issue Date

11/08/1974

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005