HENRY R MOORE OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933383

License Status

CANCELLED

Business

Title

First Name

HENRY

Middle

Last Name

MOORE

Business Name

HENRY R MOORE OD

Original Issue Date

09/13/2007

Effective Date

09/13/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60609

County

COOK

Ever Disciplined

LastModifiedDate

01/10/2008