MICHELLE L CRIST - Optometrist License in Massachusetts | # 34*****15

MICHELLE L CRIST

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****15

License Status

NOT RENEWED

Business

N

First Name

MICHELLE

Middle

L

Last Name

CRIST

Business Name

MICHELLE L CRIST

Original Issue Date

06/30/2010

Effective Date

06/30/2010

Expiration Date

03/31/2012

State

MA

Controlled Substance Schedule

III IV V

Ever Disciplined

N

LastModifiedDate

05/16/2012