WILLIAM EDWARD FISH OD - Optometrist License in Illinois | # 047925228

WILLIAM EDWARD FISH OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925228

License Status

NOT RENEWED

Business

N

First Name

WILLIAM

Middle

EDWARD

Last Name

FISH

Suffix

OD

Business Name

WILLIAM EDWARD FISH OD

Original Issue Date

02/26/1997

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005