EDMUND H CHILDRESS Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047005721

License Status

NOT RENEWED

Business

First Name

EDMUND H

Last Name

CHILDRESS

Business Name

EDMUND H CHILDRESS

Original Issue Date

04/26/1974

Expiration Date

01/01/1997

City

SCHAUMBURG

State

Zip

60172

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005