HENRY R MOORE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927079

License Status

NOT RENEWED

Business

Title

First Name

HENRY

Middle

Last Name

MOORE

Business Name

HENRY R MOORE OD

Original Issue Date

05/16/2000

Effective Date

03/12/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60621

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006