ALLEN BRUCE SIMON OD - Optometrist License in Illinois | # 047933641

ALLEN BRUCE SIMON OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933641

License Status

CANCELLED

Business

N

First Name

ALLEN BRUCE

Last Name

SIMON

Suffix

OD

Business Name

ALLEN BRUCE SIMON OD

Original Issue Date

12/18/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010