TODD G COHAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930508

License Status

NOT RENEWED

Business

First Name

TODD

Middle

Last Name

COHAN

Suffix

Business Name

TODD G COHAN OD

Original Issue Date

08/18/2004

Effective Date

08/18/2004

Expiration Date

03/31/2006

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/11/2006