ALLEN BRUCE SIMON OD - Optometrist License in Illinois | # 047932698

ALLEN BRUCE SIMON OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932698

License Status

CANCELLED

Business

N

First Name

ALLEN BRUCE

Last Name

SIMON

Suffix

OD

Business Name

ALLEN BRUCE SIMON OD

Original Issue Date

12/04/2006

Effective Date

12/04/2006

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

01/10/2008