CARL M SIMONE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925920

License Status

NOT RENEWED

Business

First Name

CARL

Middle

Last Name

SIMONE

Suffix

Business Name

CARL M SIMONE OD

Original Issue Date

10/07/1998

Effective Date

02/24/2004

Expiration Date

03/31/2006

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2006