JACK R LARSEN - Optometrist License in Wisconsin | # 046005216

JACK R LARSEN

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046005216

License Status

NOT RENEWED

Business

N

First Name

JACK R

Last Name

LARSEN

Business Name

JACK R LARSEN

Expiration Date

01/01/1997

State

WI

Ever Disciplined

N

LastModifiedDate

08/31/2005