PAUL A FOREMAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****16

License Status

NOT RENEWED

Business

Title

First Name

PAUL

Middle

Last Name

FOREMAN

Business Name

PAUL A FOREMAN OD

Original Issue Date

07/15/1996

Expiration Date

03/31/1998

City

JOLIET

State

Zip

60435

County

WILL

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006