RICHARD J KOOP Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046008406

License Status

INACTIVE

Business

First Name

RICHARD J

Last Name

KOOP

Business Name

RICHARD J KOOP

Original Issue Date

09/09/1991

Effective Date

04/01/2002

Expiration Date

03/31/2002

City

ANTHEM

State

Zip

85086

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/11/2005