DONALD W CRUDEN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006109

License Status

NOT RENEWED

Business

First Name

DONALD

Middle

Last Name

CRUDEN

Suffix

Business Name

DONALD W CRUDEN OD

Original Issue Date

11/28/1964

Effective Date

01/05/2010

Expiration Date

03/31/2012

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/16/2012