ALLEN BRUCE SIMON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925211

License Status

NOT RENEWED

Business

First Name

ALLEN BRUCE

Last Name

SIMON

Suffix

Business Name

ALLEN BRUCE SIMON OD

Original Issue Date

01/27/1997

Effective Date

06/12/1999

Expiration Date

03/31/1998

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005