QUENTIN GIN PARK OD - Optometrist License in Illinois | # 047935083

QUENTIN GIN PARK OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935083

License Status

CANCELLED

Business

N

First Name

QUENTIN

Middle

GIN

Last Name

PARK

Suffix

OD

Business Name

QUENTIN GIN PARK OD

Original Issue Date

02/14/2009

Effective Date

02/14/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010