CHRISTOPHER D MARTIN II OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930790

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER

Middle

Last Name

MARTIN

Suffix

II OD

Business Name

CHRISTOPHER D MARTIN II OD

Original Issue Date

12/14/2004

Effective Date

12/14/2004

Expiration Date

03/31/2006

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006