JEFFREY MARK GALLEN Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006929

License Status

INACTIVE

Business

First Name

JEFFREY MARK

Last Name

GALLEN

Business Name

JEFFREY MARK GALLEN

Original Issue Date

02/22/1977

Expiration Date

03/31/1984

City

PHOENIX

State

Zip

85029

County

ARIZONA

Ever Disciplined

LastModifiedDate

08/31/2005