DAVID A BUCKLEY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927006

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

BUCKLEY

Suffix

Business Name

DAVID A BUCKLEY OD

Original Issue Date

04/26/2000

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

BATAVIA

State

Zip

60510

County

KANE

Ever Disciplined

LastModifiedDate

09/11/2005