WILLARD A GILLAM Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046002723

License Status

NOT RENEWED

Business

First Name

WILLARD A

Last Name

GILLAM

Business Name

WILLARD A GILLAM

Expiration Date

01/01/1997

City

WEST LAFAYETTE

State

Zip

47906

County

INDIANA

Ever Disciplined

LastModifiedDate

08/31/2005