MICHAEL ERIC BANWART OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928226

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

ERIC

Last Name

BANWART

Suffix

Business Name

MICHAEL ERIC BANWART OD

Original Issue Date

10/16/2001

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005