EVERETT W BEATH Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047204219

License Status

NOT RENEWED

Business

First Name

EVERETT W

Last Name

BEATH

Business Name

EVERETT W BEATH

Original Issue Date

02/19/1981

Expiration Date

05/01/1982

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/01/2005