MICHELLE R DURHAM Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009821

License Status

INACTIVE

Business

First Name

MICHELLE

Middle

Last Name

DURHAM

Business Name

MICHELLE R DURHAM

Original Issue Date

12/29/2005

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

APO

State

Zip

09456

Ever Disciplined

LastModifiedDate

02/06/2008