PAUL A FOREMAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930036

License Status

NOT RENEWED

Business

Title

First Name

PAUL

Middle

Last Name

FOREMAN

Business Name

PAUL A FOREMAN OD

Original Issue Date

03/17/2004

Effective Date

03/17/2004

Expiration Date

03/31/2006

City

NORRIDGE

State

Zip

60706

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006