BRENDA A SIMONS Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928512

License Status

CANCELLED

Business

First Name

BRENDA A

Last Name

SIMONS

Business Name

BRENDA A SIMONS

Original Issue Date

03/29/2002

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010