EARL R ELLIS Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046004600

License Status

NOT RENEWED

Business

First Name

EARL R

Last Name

ELLIS

Business Name

EARL R ELLIS

Original Issue Date

04/22/1948

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/11/2005