PAUL K ANTHONY OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933611

License Status

CANCELLED

Business

First Name

PAUL

Middle

Last Name

ANTHONY

Suffix

Business Name

PAUL K ANTHONY OD

Original Issue Date

12/04/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

05/04/2010