CRAIG FORREST ROUSE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009061

License Status

NOT RENEWED

Business

First Name

CRAIG

Middle

FORREST

Last Name

ROUSE

Suffix

Business Name

CRAIG FORREST ROUSE OD

Original Issue Date

03/05/1998

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

09/11/2005