EDWIN D MOTEN JR Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047003909

License Status

NOT RENEWED

Business

First Name

EDWIN D

Last Name

MOTEN JR

Business Name

EDWIN D MOTEN JR

Original Issue Date

04/19/1976

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005