Jonathan D Goulart Od
InactiveIllinois license 047007745
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 047007745
- Status
- Inactive (Cancelled)
- First issued
- April 7, 1986
- Expired
- March 31, 2010
- License holder
- Jonathan D Goulart Od
- Entity type
- Individual
Classifications
- Licensed Optometrist Ancillary Office (Optometry) Vision & Hearing
More from the license record
- Current term began
- 01/10/2008
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Contact
Stockton, IL 61085
Jo Daviess County