CANAAN MATTHEW MONTGOMERY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010816

License Status

NOT RENEWED

Business

Title

First Name

CANAAN

Middle

MATTHEW

Last Name

MONTGOMERY

Business Name

CANAAN MATTHEW MONTGOMERY OD

Original Issue Date

06/13/2014

Effective Date

02/09/2016

Expiration Date

03/31/2018

City

VIENNA

State

Zip

62995

County

JOHNSON

Ever Disciplined

LastModifiedDate

06/19/2018