WILLIAM DEWALD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047303155

License Status

CANCELLED

Business

First Name

WILLIAM

Last Name

DEWALD

Business Name

WILLIAM DEWALD

Original Issue Date

07/29/1975

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005