MICHAEL A WILLIAMS OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931349

License Status

CANCELLED

Business

First Name

MICHAEL

Middle

Last Name

WILLIAMS

Suffix

Business Name

MICHAEL A WILLIAMS OD

Original Issue Date

08/08/2005

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

05/04/2010