GORDON S WEECH OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934694

License Status

CANCELLED

Business

First Name

GORDON

Middle

Last Name

WEECH

Suffix

Business Name

GORDON S WEECH OD

Original Issue Date

09/29/2008

Effective Date

09/29/2008

Expiration Date

03/31/2010

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/04/2010