R TRACY WILLIAMS JR OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935636

License Status

CANCELLED

Business

First Name

Middle

TRACY

Last Name

WILLIAMS

Suffix

JR OD

Business Name

R TRACY WILLIAMS JR OD

Original Issue Date

08/25/2009

Effective Date

08/25/2009

Expiration Date

03/31/2010

City

LA GRANGE PARK

State

Zip

60526

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010