BRIAN S OSWALD OD - Optometrist License in Illinois | # 047017495

BRIAN S OSWALD OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047017495

License Status

CANCELLED

Business

N

First Name

BRIAN S

Last Name

OSWALD

Suffix

OD

Business Name

BRIAN S OSWALD OD

Original Issue Date

06/03/1996

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010