HAROLD MARK FORREST Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006965

License Status

NOT RENEWED

Business

First Name

HAROLD MARK

Last Name

FORREST

Business Name

HAROLD MARK FORREST

Original Issue Date

07/29/1977

Expiration Date

03/31/1984

City

STAMFORD

State

Zip

06906

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

08/31/2005