DAVID D DEWAARD OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047507174

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

Last Name

DEWAARD

Business Name

DAVID D DEWAARD OD

Original Issue Date

02/21/1990

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005