JACK E BALDWIN Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047005761

License Status

CANCELLED

Business

First Name

JACK E

Last Name

BALDWIN

Business Name

JACK E BALDWIN

Original Issue Date

04/24/1973

Expiration Date

01/01/1997

City

DECATUR

State

Zip

62523

County

MACON

Ever Disciplined

LastModifiedDate

09/01/2005