PATRICK E DAVIDSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926119

License Status

NOT RENEWED

Business

First Name

PATRICK E

Last Name

DAVIDSON

Suffix

Business Name

PATRICK E DAVIDSON OD

Original Issue Date

02/11/1999

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/11/2005