BENNETT W NELSON OD - Optometrist License in Illinois | # 047932229

BENNETT W NELSON OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932229

License Status

NOT RENEWED

Business

N

Title

OD

First Name

BENNETT

Middle

W

Last Name

NELSON

Business Name

BENNETT W NELSON OD

Original Issue Date

05/05/2006

Effective Date

05/05/2006

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

01/10/2008