TIMOTHY H MCGILLEN Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006996

License Status

INACTIVE

Business

First Name

TIMOTHY H

Last Name

MCGILLEN

Business Name

TIMOTHY H MCGILLEN

Original Issue Date

07/29/1977

Effective Date

03/29/2002

Expiration Date

03/31/2002

City

CROWN POINT

State

Zip

46307

County

LAKE

Ever Disciplined

LastModifiedDate

09/11/2005