DAVID D DEWAARD OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047607174

License Status

CANCELLED

Business

Title

First Name

DAVID

Middle

Last Name

DEWAARD

Business Name

DAVID D DEWAARD OD

Original Issue Date

03/24/1992

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

AURORA

State

Zip

60506

County

KANE

Ever Disciplined

LastModifiedDate

05/04/2010