DAVID A BUCKLEY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927007

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

04/15/2002

Expiration Date

03/31/2002

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/11/2005