NATHANIEL MARCUS ERDMAN OD - Optometrist License in Illinois | # 047934803

NATHANIEL MARCUS ERDMAN OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934803

License Status

CANCELLED

Business

N

Title

OD

First Name

NATHANIEL

Middle

MARCUS

Last Name

ERDMAN

Business Name

NATHANIEL MARCUS ERDMAN OD

Original Issue Date

10/30/2008

Effective Date

10/30/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010