JASON PETTERSON FRONK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009287

License Status

NOT RENEWED

Business

First Name

JASON

Middle

PETTERSON

Last Name

FRONK

Suffix

Business Name

JASON PETTERSON FRONK OD

Original Issue Date

07/21/2000

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/11/2005