CHAD T MILLSAP OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931125

License Status

NOT RENEWED

Business

First Name

CHAD

Middle

Last Name

MILLSAP

Suffix

Business Name

CHAD T MILLSAP OD

Original Issue Date

04/21/2005

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008