STANLEY D DUSHMAN Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047005878

License Status

CANCELLED

Business

First Name

STANLEY

Middle

Last Name

DUSHMAN

Business Name

STANLEY D DUSHMAN

Original Issue Date

07/29/1975

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005