Travis S Park Od

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

047935223

Status

Inactive (Cancelled)

First issued

April 8, 2009

Expired

March 31, 2010

License holder

Travis S Park Od

Entity type

Individual

Classifications

• Licensed Optometrist Ancillary Office (Optometry) Vision & Hearing

More from the license record

Current term began

04/08/2009

Other Illinois licenses under this name

• IL
  Travis S Park Od

  License 046010179

  Licensed Optometrist (Optometry)
  Active

  Chicago, IL

  Expires Mar 31, 2028
• IL
  Travis S Park Od

  License 047935191

  Licensed Optometrist Ancillary Office (Optometry)
  Inactive

  Chicago, IL

  Expired Mar 31, 2010
• IL
  Travis S Park Od

  License 34*****05

  Optometrist Controlled Substance (Optometry)
  Expired

  Chicago, IL

  Expired Mar 31, 2016

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