CHARLES G VICKERS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925242

License Status

NOT RENEWED

Business

First Name

CHARLES G

Last Name

VICKERS

Suffix

Business Name

CHARLES G VICKERS OD

Original Issue Date

03/13/1997

Effective Date

06/12/1999

Expiration Date

03/31/1998

City

SANDWICH

State

Zip

60548

County

DEKALB

Ever Disciplined

LastModifiedDate

09/01/2005