CHARLES R PARKER Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006504

License Status

CANCELLED

Business

First Name

CHARLES R

Last Name

PARKER

Business Name

CHARLES R PARKER

Original Issue Date

04/26/1974

Expiration Date

03/31/1992

City

COUNTRYSIDE

State

Zip

60526

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005