CHARLES BAILEY GOODMAN - Optometrist License in Illinois | # 047206847

CHARLES BAILEY GOODMAN

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047206847

License Status

NOT RENEWED

Business

N

First Name

CHARLES

Middle

BAILEY

Last Name

GOODMAN

Business Name

CHARLES BAILEY GOODMAN

Original Issue Date

03/19/1986

Expiration Date

03/31/1988

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005