TIMOTHY DAVID BOOTS OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930117

License Status

CANCELLED

Business

First Name

TIMOTHY

Middle

DAVID

Last Name

BOOTS

Suffix

Business Name

TIMOTHY DAVID BOOTS OD

Original Issue Date

05/18/2004

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

05/04/2010