HENRY R MOORE OD - Optometrist License in Illinois | # 047204204

HENRY R MOORE OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047204204

License Status

NOT RENEWED

Business

N

Title

OD

First Name

HENRY

Middle

R

Last Name

MOORE

Business Name

HENRY R MOORE OD

Original Issue Date

02/26/1976

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005