ALLEN BRUCE SIMON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929131

License Status

NOT RENEWED

Business

First Name

ALLEN BRUCE

Last Name

SIMON

Suffix

Business Name

ALLEN BRUCE SIMON OD

Original Issue Date

11/08/2002

Effective Date

03/23/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006