MAURICE J ENNIS Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047005635

License Status

NOT RENEWED

Business

First Name

MAURICE J

Last Name

ENNIS

Business Name

MAURICE J ENNIS

Original Issue Date

08/20/1986

Expiration Date

03/31/1988

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

09/01/2005