ELIOT F GROSSMAN Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007721

License Status

INACTIVE

Business

First Name

ELIOT F

Last Name

GROSSMAN

Business Name

ELIOT F GROSSMAN

Original Issue Date

08/20/1984

Expiration Date

03/31/1998

City

MISSION VIEJO

State

Zip

92692

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

08/31/2005

Case Number

1994001892

Action

Fine

Discipline Start Date

07/10/1995

Discipline Reason

Failed to have an ancillary license for one location.