BODIE K GODWIN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047008522

License Status

NOT RENEWED

Business

First Name

BODIE

Middle

Last Name

GODWIN

Suffix

Business Name

BODIE K GODWIN OD

Original Issue Date

04/14/1994

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

NORTH RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005