PAUL K ANTHONY OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935841

License Status

CANCELLED

Business

First Name

PAUL

Middle

Last Name

ANTHONY

Suffix

Business Name

PAUL K ANTHONY OD

Original Issue Date

11/12/2009

Effective Date

11/12/2009

Expiration Date

03/31/2010

City

PAXTON

State

Zip

60957

County

FORD

Ever Disciplined

LastModifiedDate

05/04/2010