ALLEN BRUCE SIMON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047008700

License Status

NOT RENEWED

Business

First Name

ALLEN BRUCE

Last Name

SIMON

Suffix

Business Name

ALLEN BRUCE SIMON OD

Original Issue Date

04/10/1995

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005