MICHAEL L RUSSELL - Optometrist License in Michigan | # 046006641

MICHAEL L RUSSELL

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006641

License Status

INACTIVE

Business

N

First Name

MICHAEL L

Last Name

RUSSELL

Business Name

MICHAEL L RUSSELL

Original Issue Date

08/14/1974

Expiration Date

03/31/1984

State

MI

Ever Disciplined

N

LastModifiedDate

08/31/2005