DAVID A ROSSELLO OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009767

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

ROSSELLO

Suffix

Business Name

DAVID A ROSSELLO OD

Original Issue Date

06/23/2005

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

05/02/2008