BODIE K GODWIN OD - Optometrist License in Illinois | # 047934446

BODIE K GODWIN OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934446

License Status

CANCELLED

Business

N

First Name

BODIE

Middle

K

Last Name

GODWIN

Suffix

OD

Business Name

BODIE K GODWIN OD

Original Issue Date

07/29/2008

Effective Date

07/29/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010