CHAD ALLEN CARLSSON OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009539

License Status

INACTIVE

Business

First Name

CHAD

Middle

ALLEN

Last Name

CARLSSON

Suffix

Business Name

CHAD ALLEN CARLSSON OD

Original Issue Date

06/25/2003

Effective Date

03/05/2018

Expiration Date

09/30/2020

City

GILBERT

State

Zip

85297

County

ARIZONA

Ever Disciplined

LastModifiedDate

01/04/2020