HEATHER MARIE COCKLAN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009418

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

MARIE

Last Name

COCKLAN

Business Name

HEATHER MARIE COCKLAN

Original Issue Date

10/26/2001

Effective Date

02/10/2004

Expiration Date

03/31/2006

City

ROCKFORD

State

Zip

61112

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2006