DAVID D DEWAARD OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926103

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

Last Name

DEWAARD

Business Name

DAVID D DEWAARD OD

Original Issue Date

01/19/1999

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005