PAUL A FOREMAN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935187

License Status

CANCELLED

Business

Title

First Name

PAUL

Middle

Last Name

FOREMAN

Business Name

PAUL A FOREMAN OD

Original Issue Date

03/26/2009

Effective Date

03/26/2009

Expiration Date

03/31/2010

City

N RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010