DAVID D DEWAARD OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929432

License Status

CANCELLED

Business

Title

First Name

DAVID

Middle

Last Name

DEWAARD

Business Name

DAVID D DEWAARD OD

Original Issue Date

04/16/2003

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010