STANLEY D DUSHMAN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928047

License Status

NOT RENEWED

Business

First Name

STANLEY

Middle

Last Name

DUSHMAN

Business Name

STANLEY D DUSHMAN

Original Issue Date

08/15/2001

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

09/11/2005