CHRISTIAN G BURCH OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931406

License Status

CANCELLED

Business

First Name

CHRISTIAN

Middle

Last Name

BURCH

Suffix

Business Name

CHRISTIAN G BURCH OD

Original Issue Date

08/25/2005

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010