RICHARD L ALLEN Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006699

License Status

INACTIVE

Business

First Name

RICHARD L

Last Name

ALLEN

Business Name

RICHARD L ALLEN

Original Issue Date

07/18/1975

Effective Date

03/16/2004

Expiration Date

03/31/2004

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

01/31/2007

Case Number

1989004485

Action

Fine

Discipline Start Date

09/27/1990