LANE DONALD RUPPE Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007409

License Status

INACTIVE

Business

First Name

LANE DONALD

Last Name

RUPPE

Business Name

LANE DONALD RUPPE

Original Issue Date

08/10/1981

Effective Date

03/16/2004

Expiration Date

03/31/2004

City

MESA

State

Zip

85213

Ever Disciplined

LastModifiedDate

09/11/2005