JOHN P BELLEN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931497

License Status

CANCELLED

Business

First Name

JOHN

Middle

Last Name

BELLEN

Suffix

Business Name

JOHN P BELLEN OD

Original Issue Date

08/26/2005

Effective Date

05/09/2008

Expiration Date

03/31/2010

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010