MICHAEL SCULLEY OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935431

License Status

CANCELLED

Business

First Name

MICHAEL

Last Name

SCULLEY

Suffix

Business Name

MICHAEL SCULLEY OD

Original Issue Date

06/22/2009

Effective Date

06/22/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010