MICHAEL SCULLEY OD - Optometrist License in Illinois | # 047931676

MICHAEL SCULLEY OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931676

License Status

CANCELLED

Business

N

First Name

MICHAEL

Last Name

SCULLEY

Suffix

OD

Business Name

MICHAEL SCULLEY OD

Original Issue Date

02/07/2006

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010