BENJAMIN T ROSE Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046005771

License Status

INACTIVE

Business

First Name

BENJAMIN T

Last Name

ROSE

Business Name

BENJAMIN T ROSE

Effective Date

04/24/2000

Expiration Date

03/31/2000

City

SURPRISE

State

Zip

85374

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/11/2005