ALLEN BRUCE SIMON OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932698

License Status

CANCELLED

Business

First Name

ALLEN BRUCE

Last Name

SIMON

Suffix

Business Name

ALLEN BRUCE SIMON OD

Original Issue Date

12/04/2006

Effective Date

12/04/2006

Expiration Date

03/31/2008

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

01/10/2008