WILLIAM J YOUNG OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929961

License Status

CANCELLED

Business

First Name

WILLIAM

Middle

Last Name

YOUNG

Suffix

Business Name

WILLIAM J YOUNG OD

Original Issue Date

01/16/2004

Effective Date

03/22/2004

Expiration Date

03/31/2006

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

09/01/2005