BRENDA A SIMONS Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928934

License Status

NOT RENEWED

Business

First Name

BRENDA A

Last Name

SIMONS

Business Name

BRENDA A SIMONS

Original Issue Date

09/04/2002

Effective Date

03/08/2004

Expiration Date

03/31/2006

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/11/2006