JASON STUART PFEIFER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009297

License Status

NOT RENEWED

Business

First Name

JASON

Middle

STUART

Last Name

PFEIFER

Suffix

Business Name

JASON STUART PFEIFER OD

Original Issue Date

08/08/2000

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

ROCKFORD

State

Zip

61112

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/11/2005