CHRISTOPHER D MARTIN II OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934792

License Status

CANCELLED

Business

First Name

CHRISTOPHER

Middle

Last Name

MARTIN

Suffix

II OD

Business Name

CHRISTOPHER D MARTIN II OD

Original Issue Date

10/29/2008

Effective Date

10/29/2008

Expiration Date

03/31/2010

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

05/04/2010