BETHANY ERINNE WARD OD - Optometrist License in Illinois | # 047935530

BETHANY ERINNE WARD OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935530

License Status

CANCELLED

Business

N

First Name

BETHANY

Middle

ERINNE

Last Name

WARD

Suffix

OD

Business Name

BETHANY ERINNE WARD OD

Original Issue Date

07/22/2009

Effective Date

07/22/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010