CARL M SIMONE OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047206492

License Status

CANCELLED

Business

First Name

CARL

Middle

Last Name

SIMONE

Suffix

Business Name

CARL M SIMONE OD

Original Issue Date

06/28/1974

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005