MARY BETH GORAZD OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009131

License Status

NOT RENEWED

Business

First Name

MARY

Middle

BETH

Last Name

GORAZD

Suffix

Business Name

MARY BETH GORAZD OD

Original Issue Date

08/24/1998

Effective Date

03/31/2014

Expiration Date

03/31/2016

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/20/2016