DAVID A BUCKLEY OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929981

License Status

CANCELLED

Business

First Name

DAVID

Middle

Last Name

BUCKLEY

Suffix

Business Name

DAVID A BUCKLEY OD

Original Issue Date

02/18/2004

Effective Date

06/17/2009

Expiration Date

03/31/2010

City

BOLINGBROOK

State

Zip

60440

County

WILL

Ever Disciplined

LastModifiedDate

05/04/2010