RALPH F KLICKMAN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046004567

License Status

NOT RENEWED

Business

First Name

RALPH F

Last Name

KLICKMAN

Business Name

RALPH F KLICKMAN

Expiration Date

05/01/1982

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

08/31/2005