JOSHUA LEE KORSGARDEN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930521

License Status

NOT RENEWED

Business

First Name

JOSHUA

Middle

LEE

Last Name

KORSGARDEN

Suffix

Business Name

JOSHUA LEE KORSGARDEN OD

Original Issue Date

08/23/2004

Effective Date

08/23/2004

Expiration Date

03/31/2006

City

ROLLING MEADOWS

State

Zip

60008

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006