RALPH F KLICKMAN Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047004567

License Status

CANCELLED

Business

First Name

RALPH F

Last Name

KLICKMAN

Business Name

RALPH F KLICKMAN

Expiration Date

01/01/1997

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/01/2005