DAVID JOHN ANDERSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047016938

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

JOHN

Last Name

ANDERSON

Suffix

Business Name

DAVID JOHN ANDERSON OD

Original Issue Date

05/26/1994

Effective Date

03/28/2006

Expiration Date

03/31/2008

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

05/02/2008