TIMOTHY C EDWARDS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047007549

License Status

NOT RENEWED

Business

Title

First Name

TIMOTHY

Middle

Last Name

EDWARDS

Business Name

TIMOTHY C EDWARDS OD

Original Issue Date

08/14/1990

Expiration Date

03/31/1992

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/01/2005