JOSHUA LEE KORSGARDEN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930401

License Status

CANCELLED

Business

First Name

JOSHUA

Middle

LEE

Last Name

KORSGARDEN

Suffix

Business Name

JOSHUA LEE KORSGARDEN OD

Original Issue Date

07/19/2004

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

05/04/2010