N J DIAMOND Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047004976

License Status

CANCELLED

Business

First Name

N J

Last Name

DIAMOND

Business Name

N J DIAMOND

Original Issue Date

07/29/1975

Expiration Date

01/01/1997

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

09/01/2005