WALTER GOODPASTER Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046003514

License Status

NOT RENEWED

Business

First Name

WALTER

Last Name

GOODPASTER

Business Name

WALTER GOODPASTER

Expiration Date

03/31/1990

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

08/31/2005