CHARLES R PARKER Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928102

License Status

NOT RENEWED

Business

First Name

CHARLES R

Last Name

PARKER

Business Name

CHARLES R PARKER

Original Issue Date

08/21/2001

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

09/11/2005