CLINT THOMAS TAYLOR OD - Optometrist License in Illinois | # 047935653

CLINT THOMAS TAYLOR OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935653

License Status

CANCELLED

Business

N

First Name

CLINT

Middle

THOMAS

Last Name

TAYLOR

Suffix

OD

Business Name

CLINT THOMAS TAYLOR OD

Original Issue Date

08/31/2009

Effective Date

08/31/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010