VINCENT M DO OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930359

License Status

CANCELLED

Business

First Name

VINCENT

Middle

Last Name

Suffix

Business Name

VINCENT M DO OD

Original Issue Date

06/29/2004

Effective Date

06/29/2004

Expiration Date

03/31/2006

City

ELMWOOD PARK

State

Zip

60707

County

COOK

Ever Disciplined

LastModifiedDate

01/18/2006