RUSSELL HOWARD FARSON Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006532

License Status

NOT RENEWED

Business

First Name

RUSSELL HOWARD

Last Name

FARSON

Business Name

RUSSELL HOWARD FARSON

Original Issue Date

08/21/1973

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/11/2005