CHARLES E ATKINS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931159

License Status

NOT RENEWED

Business

Title

First Name

CHARLES

Middle

Last Name

ATKINS

Business Name

CHARLES E ATKINS OD

Original Issue Date

05/04/2005

Effective Date

05/04/2005

Expiration Date

03/31/2006

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/11/2006