DAVID JAMES FAIRLEY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009710

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

JAMES

Last Name

FAIRLEY

Suffix

Business Name

DAVID JAMES FAIRLEY OD

Original Issue Date

09/02/2004

Effective Date

09/02/2004

Expiration Date

03/31/2006

City

SCOTTSDALE

State

Zip

85260

County

ARIZONA

Ever Disciplined

LastModifiedDate

05/11/2006