FRED RICHARD DEHAAN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006955

License Status

NOT RENEWED

Business

First Name

FRED RICHARD

Last Name

DEHAAN

Business Name

FRED RICHARD DEHAAN

Original Issue Date

07/29/1977

Expiration Date

01/01/1997

City

STORM LAKE

State

Zip

50588

County

IOWA

Ever Disciplined

LastModifiedDate

08/31/2005