RONALD J HENDERSON OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926440

License Status

CANCELLED

Business

First Name

RONALD

Middle

Last Name

HENDERSON

Suffix

Business Name

RONALD J HENDERSON OD

Original Issue Date

10/13/1999

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

05/04/2010