RONALD NELSON OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047005881

License Status

CANCELLED

Business

First Name

RONALD

Last Name

NELSON

Suffix

Business Name

RONALD NELSON OD

Original Issue Date

08/22/1972

Expiration Date

01/01/1997

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

09/01/2005