PAUL A FOREMAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929544

License Status

NOT RENEWED

Business

Title

First Name

PAUL

Middle

Last Name

FOREMAN

Business Name

PAUL A FOREMAN OD

Original Issue Date

08/04/2003

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

PROPHETSTOWN

State

Zip

61277

County

WHITESIDE

Ever Disciplined

LastModifiedDate

09/11/2005