PHILLIP L KAUFMAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047046761

License Status

NOT RENEWED

Business

First Name

PHILLIP

Middle

Last Name

KAUFMAN

Suffix

Business Name

PHILLIP L KAUFMAN OD

Original Issue Date

09/26/1996

Expiration Date

03/31/1998

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

09/01/2005