LOU M RUSHFORD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047005113

License Status

NOT RENEWED

Business

First Name

LOU M

Last Name

RUSHFORD

Business Name

LOU M RUSHFORD

Original Issue Date

04/26/1974

Expiration Date

01/01/1997

City

ROCKFORD

State

Zip

61112

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/01/2005