DAVID CHARLES GUILBAULT Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047107184

License Status

NOT RENEWED

Business

First Name

DAVID CHARLES

Last Name

GUILBAULT

Business Name

DAVID CHARLES GUILBAULT

Original Issue Date

06/03/1980

Expiration Date

05/01/1982

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

09/01/2005