CHARLES BAILEY GOODMAN - Optometrist License in Illinois | # 047006847

CHARLES BAILEY GOODMAN

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006847

License Status

NOT RENEWED

Business

N

First Name

CHARLES

Middle

BAILEY

Last Name

GOODMAN

Business Name

CHARLES BAILEY GOODMAN

Original Issue Date

06/18/1979

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005