CHARLES R FAWCETT Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047205287

License Status

CANCELLED

Business

First Name

CHARLES R

Last Name

FAWCETT

Business Name

CHARLES R FAWCETT

Original Issue Date

05/10/1974

Expiration Date

01/01/1997

City

PARK FOREST

State

Zip

60466

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005