JAMES P WALSH OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930040

License Status

CANCELLED

Business

First Name

JAMES P

Last Name

WALSH

Suffix

Business Name

JAMES P WALSH OD

Original Issue Date

03/18/2004

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/04/2010