W ALAN DISHMAN Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047207990

License Status

CANCELLED

Business

First Name

W ALAN

Last Name

DISHMAN

Business Name

W ALAN DISHMAN

Original Issue Date

04/01/1989

Expiration Date

03/31/1990

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005