ANTHONY JOSEPH SMITH OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935470

License Status

CANCELLED

Business

First Name

ANTHONY

Middle

JOSEPH

Last Name

SMITH

Suffix

Business Name

ANTHONY JOSEPH SMITH OD

Original Issue Date

07/08/2009

Effective Date

07/08/2009

Expiration Date

03/31/2010

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/04/2010