BETHANY ERINNE WARD OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935529

License Status

CANCELLED

Business

First Name

BETHANY

Middle

ERINNE

Last Name

WARD

Suffix

Business Name

BETHANY ERINNE WARD OD

Original Issue Date

07/22/2009

Effective Date

07/22/2009

Expiration Date

03/31/2010

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010