WILLIAM EDWARD FISH OD - Optometrist License in Illinois | # 047928084

WILLIAM EDWARD FISH OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928084

License Status

CANCELLED

Business

N

First Name

WILLIAM

Middle

EDWARD

Last Name

FISH

Suffix

OD

Business Name

WILLIAM EDWARD FISH OD

Original Issue Date

08/21/2001

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010