MARJAN M MOALLEM OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046008984

License Status

NOT RENEWED

Business

First Name

MARJAN

Middle

Last Name

MOALLEM

Suffix

Business Name

MARJAN M MOALLEM OD

Original Issue Date

07/10/1997

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

SAN JOSE

State

Zip

95154

Ever Disciplined

LastModifiedDate

09/11/2005