MICHAEL STEVENS - Optometrist License in Illinois | # 047004468

MICHAEL STEVENS

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047004468

License Status

CANCELLED

Business

N

First Name

MICHAEL

Last Name

STEVENS

Business Name

MICHAEL STEVENS

Original Issue Date

06/24/1972

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005