SAMUEL A DORSEY Optometrist License verification

Business Entity

INOPERATIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047104270

License Status

INOPERATIVE

Business

First Name

SAMUEL A

Last Name

DORSEY

Business Name

SAMUEL A DORSEY

Original Issue Date

05/29/1974

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005