N J DIAMOND Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930610

License Status

NOT RENEWED

Business

First Name

N J

Last Name

DIAMOND

Business Name

N J DIAMOND

Original Issue Date

09/22/2004

Effective Date

09/22/2004

Expiration Date

03/31/2006

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

05/11/2006