DAVID SIMON - Optometrist License in Illinois | # 047925530

DAVID SIMON

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925530

License Status

NOT RENEWED

Business

N

First Name

DAVID

Last Name

SIMON

Business Name

DAVID SIMON

Original Issue Date

12/16/1997

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005