DOUGLAS W DEVORE Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932272

License Status

CANCELLED

Business

First Name

DOUGLAS W

Last Name

DEVORE

Business Name

DOUGLAS W DEVORE

Original Issue Date

05/11/2006

Effective Date

05/11/2006

Expiration Date

03/31/2008

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

05/11/2006