VINCENT M DO OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931134

License Status

CANCELLED

Business

First Name

VINCENT

Middle

Last Name

Suffix

Business Name

VINCENT M DO OD

Original Issue Date

04/22/2005

Effective Date

04/22/2005

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

01/18/2006