PHILLIP ROBERT ELSTON OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931681

License Status

CANCELLED

Business

Title

First Name

PHILLIP

Middle

ROBERT

Last Name

ELSTON

Business Name

PHILLIP ROBERT ELSTON OD

Original Issue Date

02/09/2006

Effective Date

02/09/2006

Expiration Date

03/31/2008

City

MCHENRY

State

Zip

60050

County

MCHENRY

Ever Disciplined

LastModifiedDate

01/10/2008