HAROLD MARK FORREST - Optometrist License in Connecticut | # 046006965

HAROLD MARK FORREST

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006965

License Status

NOT RENEWED

Business

N

First Name

HAROLD MARK

Last Name

FORREST

Business Name

HAROLD MARK FORREST

Original Issue Date

07/29/1977

Expiration Date

03/31/1984

State

CT

Ever Disciplined

N

LastModifiedDate

08/31/2005