DAVID D DEWAARD OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047077174

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

Last Name

DEWAARD

Business Name

DAVID D DEWAARD OD

Original Issue Date

05/03/1994

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60621

County

COOK

Ever Disciplined

LastModifiedDate

01/10/2008