L S CHADWICK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930733

License Status

NOT RENEWED

Business

First Name

Middle

Last Name

CHADWICK

Suffix

Business Name

L S CHADWICK OD

Original Issue Date

11/19/2004

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

KEWANEE

State

Zip

61443

County

HENRY

Ever Disciplined

LastModifiedDate

05/02/2008