TODD G COHAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929753

License Status

NOT RENEWED

Business

First Name

TODD

Middle

Last Name

COHAN

Suffix

Business Name

TODD G COHAN OD

Original Issue Date

10/16/2003

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/11/2005