MICHAEL SCULLEY OD - Optometrist License in Illinois | # 047935431

MICHAEL SCULLEY OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935431

License Status

CANCELLED

Business

N

First Name

MICHAEL

Last Name

SCULLEY

Suffix

OD

Business Name

MICHAEL SCULLEY OD

Original Issue Date

06/22/2009

Effective Date

06/22/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010