DERRALD G TAYLOR - Optometrist License in Illinois | # 047926852

DERRALD G TAYLOR

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926852

License Status

NOT RENEWED

Business

N

First Name

DERRALD G

Last Name

TAYLOR

Business Name

DERRALD G TAYLOR

Original Issue Date

03/15/2000

Effective Date

03/01/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006