CHARLES R FAWCETT Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046005287

License Status

NOT RENEWED

Business

First Name

CHARLES R

Last Name

FAWCETT

Business Name

CHARLES R FAWCETT

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/11/2005