MICHAEL STEVENS Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047704468

License Status

CANCELLED

Business

First Name

MICHAEL

Last Name

STEVENS

Business Name

MICHAEL STEVENS

Original Issue Date

09/15/1987

Expiration Date

03/31/1988

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005