DAVID F MARTIN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933612

License Status

CANCELLED

Business

First Name

DAVID

Middle

Last Name

MARTIN

Suffix

Business Name

DAVID F MARTIN OD

Original Issue Date

12/05/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

05/04/2010