PHILLIP L KAUFMAN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931636

License Status

CANCELLED

Business

First Name

PHILLIP

Middle

Last Name

KAUFMAN

Suffix

Business Name

PHILLIP L KAUFMAN OD

Original Issue Date

12/07/2005

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

05/04/2010