BRANDON GLEN STALZER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009693

License Status

NOT RENEWED

Business

First Name

BRANDON

Middle

GLEN

Last Name

STALZER

Suffix

Business Name

BRANDON GLEN STALZER OD

Original Issue Date

08/10/2004

Effective Date

08/11/2004

Expiration Date

03/31/2006

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/11/2006