DAVID DICK OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925399

License Status

CANCELLED

Business

First Name

DAVID

Last Name

DICK

Suffix

Business Name

DAVID DICK OD

Original Issue Date

07/29/1997

Effective Date

04/05/2004

Expiration Date

03/31/2006

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

01/18/2006