DAVID JOHN ANDERSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932984

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

JOHN

Last Name

ANDERSON

Suffix

Business Name

DAVID JOHN ANDERSON OD

Original Issue Date

04/24/2007

Effective Date

04/24/2007

Expiration Date

03/31/2008

City

MOUNT MORRIS

State

Zip

61054

County

OGLE

Ever Disciplined

LastModifiedDate

01/10/2008