GEOFFREY W GOODFELLOW Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928159

License Status

NOT RENEWED

Business

First Name

GEOFFREY

Middle

Last Name

GOODFELLOW

Business Name

GEOFFREY W GOODFELLOW

Original Issue Date

09/18/2001

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005