FREDERIC A BANSER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047027551

License Status

NOT RENEWED

Business

First Name

FREDERIC

Middle

Last Name

BANSER

Suffix

Business Name

FREDERIC A BANSER OD

Original Issue Date

04/23/1993

Expiration Date

03/31/1994

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005