TIMOTHY DAVID BOOTS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925838

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

DAVID

Last Name

BOOTS

Suffix

Business Name

TIMOTHY DAVID BOOTS OD

Original Issue Date

09/09/1998

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005