BODIE K GODWIN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929983

License Status

NOT RENEWED

Business

First Name

BODIE

Middle

Last Name

GODWIN

Suffix

Business Name

BODIE K GODWIN OD

Original Issue Date

02/18/2004

Effective Date

02/18/2004

Expiration Date

03/31/2006

City

ST CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

05/11/2006