NEIL A CROFOOT Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930288

License Status

NOT RENEWED

Business

First Name

NEIL A

Last Name

CROFOOT

Business Name

NEIL A CROFOOT

Original Issue Date

06/09/2004

Effective Date

06/09/2004

Expiration Date

03/31/2006

City

SCHAUMBURG

State

Zip

60193

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006