DANIEL R WEAVER OD - Optometrist License in Illinois | # 047928290

DANIEL R WEAVER OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928290

License Status

NOT RENEWED

Business

N

First Name

DANIEL

Middle

R

Last Name

WEAVER

Suffix

OD

Business Name

DANIEL R WEAVER OD

Original Issue Date

11/13/2001

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005