ANWI NGANDO ETAME OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010004

License Status

INACTIVE

Business

First Name

ANWI

Middle

NGANDO

Last Name

ETAME

Suffix

Business Name

ANWI NGANDO ETAME OD

Original Issue Date

07/06/2007

Effective Date

01/12/2018

Expiration Date

09/30/2020

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

01/04/2020