CHAD ALLEN CARLSSON OD - Optometrist License in Arizona | # 046009539

CHAD ALLEN CARLSSON OD

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009539

License Status

INACTIVE

Business

N

First Name

CHAD

Middle

ALLEN

Last Name

CARLSSON

Suffix

OD

Business Name

CHAD ALLEN CARLSSON OD

Original Issue Date

06/25/2003

Effective Date

03/05/2018

Expiration Date

09/30/2020

State

AZ

Ever Disciplined

N

LastModifiedDate

01/04/2020