HENRY R MOORE OD - Optometrist License in Illinois | # 047004204

HENRY R MOORE OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047004204

License Status

NOT RENEWED

Business

N

Title

OD

First Name

HENRY

Middle

R

Last Name

MOORE

Business Name

HENRY R MOORE OD

Original Issue Date

05/10/1974

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005