BENJAMIN HUGHSTON LEISHMAN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935747

License Status

CANCELLED

Business

Title

First Name

BENJAMIN

Middle

HUGHSTON

Last Name

LEISHMAN

Business Name

BENJAMIN HUGHSTON LEISHMAN OD

Original Issue Date

10/05/2009

Effective Date

10/05/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010