STUART SHERWIN LEVINE OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929186

License Status

CANCELLED

Business

First Name

STUART

Middle

SHERWIN

Last Name

LEVINE

Suffix

Business Name

STUART SHERWIN LEVINE OD

Original Issue Date

12/04/2002

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

SAVOY

State

Zip

61874

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/04/2010