EDWARD JASPER LUDLAM Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006081

License Status

NOT RENEWED

Business

First Name

EDWARD JASPER

Last Name

LUDLAM

Business Name

EDWARD JASPER LUDLAM

Original Issue Date

03/29/1993

Expiration Date

03/31/1998

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

09/01/2005