CHARLES M PULLIAM Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046005212

License Status

INACTIVE

Business

First Name

CHARLES M

Last Name

PULLIAM

Business Name

CHARLES M PULLIAM

Effective Date

02/26/2002

Expiration Date

03/31/2002

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/11/2005