ALLEN BRUCE SIMON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927262

License Status

NOT RENEWED

Business

First Name

ALLEN BRUCE

Last Name

SIMON

Suffix

Business Name

ALLEN BRUCE SIMON OD

Original Issue Date

06/27/2000

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

09/11/2005