TIMOTHY D BUSEY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926096

License Status

NOT RENEWED

Business

Title

First Name

TIMOTHY

Middle

Last Name

BUSEY

Business Name

TIMOTHY D BUSEY OD

Original Issue Date

01/15/1999

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/11/2005