DAVID SIMON Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925530

License Status

NOT RENEWED

Business

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

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005