DERRALD G TAYLOR Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047306305

License Status

CANCELLED

Business

First Name

DERRALD G

Last Name

TAYLOR

Business Name

DERRALD G TAYLOR

Original Issue Date

02/17/1989

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

05/04/2010