DOUGLAS W DEVORE Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047007697

License Status

NOT RENEWED

Business

First Name

DOUGLAS W

Last Name

DEVORE

Business Name

DOUGLAS W DEVORE

Original Issue Date

04/02/1986

Expiration Date

03/31/1988

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/01/2005