EUGENE A STAN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047104483

License Status

NOT RENEWED

Business

First Name

EUGENE A

Last Name

STAN

Business Name

EUGENE A STAN

Original Issue Date

05/29/1974

Expiration Date

05/01/1982

City

CHICAGO

State

Zip

60639

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005