MICHELLE ANN GARDNER OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009147

License Status

INACTIVE

Business

First Name

MICHELLE

Middle

ANN

Last Name

GARDNER

Suffix

Business Name

MICHELLE ANN GARDNER OD

Original Issue Date

03/01/1999

Effective Date

04/08/2004

Expiration Date

03/31/2006

City

DURANGO

State

Zip

52039

Ever Disciplined

LastModifiedDate

08/29/2008