DAVID SIMON Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925922

License Status

NOT RENEWED

Business

First Name

DAVID

Last Name

SIMON

Business Name

DAVID SIMON

Original Issue Date

10/07/1998

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

09/11/2005