DOUGLAS A GROVE Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047307698

License Status

NOT RENEWED

Business

First Name

DOUGLAS A

Last Name

GROVE

Business Name

DOUGLAS A GROVE

Original Issue Date

03/13/1987

Expiration Date

03/31/1988

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005