CHARLES BAILEY GOODMAN - Optometrist License in Illinois | # 047934977

CHARLES BAILEY GOODMAN

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934977

License Status

CANCELLED

Business

N

First Name

CHARLES

Middle

BAILEY

Last Name

GOODMAN

Business Name

CHARLES BAILEY GOODMAN

Original Issue Date

12/31/2008

Effective Date

12/31/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010