JAMES P WALSH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930539

License Status

NOT RENEWED

Business

First Name

JAMES P

Last Name

WALSH

Suffix

Business Name

JAMES P WALSH OD

Original Issue Date

08/24/2004

Effective Date

08/24/2004

Expiration Date

03/31/2006

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/11/2006