JEDIDIAH DAVID SMITH Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010703

License Status

NOT RENEWED

Business

First Name

JEDIDIAH

Middle

DAVID

Last Name

SMITH

Business Name

JEDIDIAH DAVID SMITH

Original Issue Date

07/11/2013

Effective Date

02/11/2014

Expiration Date

03/31/2016

City

OFALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/20/2016