STUART SHERWIN LEVINE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047005844

License Status

NOT RENEWED

Business

First Name

STUART

Middle

SHERWIN

Last Name

LEVINE

Suffix

Business Name

STUART SHERWIN LEVINE OD

Original Issue Date

05/31/1984

Expiration Date

03/31/1994

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/01/2005