NEIL A CROFOOT Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925809

License Status

NOT RENEWED

Business

First Name

NEIL A

Last Name

CROFOOT

Business Name

NEIL A CROFOOT

Original Issue Date

08/18/1998

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60604

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005