DAVID D DEWAARD OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047107174

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

Last Name

DEWAARD

Business Name

DAVID D DEWAARD OD

Original Issue Date

01/31/1980

Expiration Date

05/01/1982

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

09/01/2005