DOUGLAS GOODWIN ROSE OD - Optometrist License in Missouri | # 046009690

DOUGLAS GOODWIN ROSE OD

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009690

License Status

INACTIVE

Business

N

First Name

DOUGLAS

Middle

GOODWIN

Last Name

ROSE

Suffix

OD

Business Name

DOUGLAS GOODWIN ROSE OD

Original Issue Date

07/20/2004

Effective Date

03/10/2016

Expiration Date

03/31/2018

State

MO

Ever Disciplined

N

LastModifiedDate

01/12/2018