WILLIAM EDWARD FISH OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006834

License Status

CANCELLED

Business

First Name

WILLIAM

Middle

EDWARD

Last Name

FISH

Suffix

Business Name

WILLIAM EDWARD FISH OD

Original Issue Date

05/19/1986

Expiration Date

03/31/1988

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/01/2005