GEOFFREY W GOODFELLOW Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928404

License Status

NOT RENEWED

Business

First Name

GEOFFREY

Middle

Last Name

GOODFELLOW

Business Name

GEOFFREY W GOODFELLOW

Original Issue Date

02/01/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

BLUE ISLAND

State

Zip

60406

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005