ERICA DANIELLE BENNEHOFF OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009555

License Status

INACTIVE

Business

Title

First Name

ERICA

Middle

DANIELLE

Last Name

BENNEHOFF

Business Name

ERICA DANIELLE BENNEHOFF OD

Original Issue Date

06/26/2003

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

HILLSBORO

State

Zip

62049

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

01/05/2010