BODIE K GODWIN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934563

License Status

CANCELLED

Business

First Name

BODIE

Middle

Last Name

GODWIN

Suffix

Business Name

BODIE K GODWIN OD

Original Issue Date

08/20/2008

Effective Date

08/20/2008

Expiration Date

03/31/2010

City

ST CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

05/04/2010