TIMOTHY D BUSEY OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934648

License Status

CANCELLED

Business

Title

First Name

TIMOTHY

Middle

Last Name

BUSEY

Business Name

TIMOTHY D BUSEY OD

Original Issue Date

09/14/2008

Effective Date

09/14/2008

Expiration Date

03/31/2010

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/04/2010