ALLEN BRUCE SIMON OD - Optometrist License in Illinois | # 047927486

ALLEN BRUCE SIMON OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927486

License Status

CANCELLED

Business

N

First Name

ALLEN BRUCE

Last Name

SIMON

Suffix

OD

Business Name

ALLEN BRUCE SIMON OD

Original Issue Date

10/06/2000

Effective Date

01/18/2006

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

01/10/2008