MICHAEL STEVENS Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047204468

License Status

CANCELLED

Business

First Name

MICHAEL

Last Name

STEVENS

Business Name

MICHAEL STEVENS

Original Issue Date

10/19/1973

Expiration Date

01/01/1997

City

CICERO

State

Zip

60650

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005