ANTHONY JOSEPH SMITH OD - Optometrist License in Illinois | # 047935470

ANTHONY JOSEPH SMITH OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935470

License Status

CANCELLED

Business

N

First Name

ANTHONY

Middle

JOSEPH

Last Name

SMITH

Suffix

OD

Business Name

ANTHONY JOSEPH SMITH OD

Original Issue Date

07/08/2009

Effective Date

07/08/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010