DAVID D DEWAARD OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047087174

License Status

CANCELLED

Business

Title

First Name

DAVID

Middle

Last Name

DEWAARD

Business Name

DAVID D DEWAARD OD

Original Issue Date

11/02/1996

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010