DOUGLAS A GROVE Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007698

License Status

NOT RENEWED

Business

First Name

DOUGLAS A

Last Name

GROVE

Business Name

DOUGLAS A GROVE

Original Issue Date

02/07/1984

Effective Date

03/08/2004

Expiration Date

03/31/2006

City

BROXTON

State

Zip

31519

County

GEORGIA

Ever Disciplined

LastModifiedDate

05/11/2006

Case Number

1996011553

Action

Fine

Discipline Start Date

04/10/1997

Discipline Reason

Failed to submit proof of required continuing education hours.