CHARLES E ATKINS OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929895

License Status

CANCELLED

Business

Title

First Name

CHARLES

Middle

Last Name

ATKINS

Business Name

CHARLES E ATKINS OD

Original Issue Date

12/10/2003

Effective Date

12/02/2009

Expiration Date

03/31/2010

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/04/2010