JOSHUA LEE KORSGARDEN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930804

License Status

NOT RENEWED

Business

First Name

JOSHUA

Middle

LEE

Last Name

KORSGARDEN

Suffix

Business Name

JOSHUA LEE KORSGARDEN OD

Original Issue Date

12/20/2004

Effective Date

12/20/2004

Expiration Date

03/31/2006

City

ALGONQUIN

State

Zip

60102

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/11/2006