BRENDA A SIMONS Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927822

License Status

NOT RENEWED

Business

First Name

BRENDA A

Last Name

SIMONS

Business Name

BRENDA A SIMONS

Original Issue Date

03/29/2001

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005