WILLIAM J IRVINE JR OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006183

License Status

CANCELLED

Business

First Name

WILLIAM

Middle

Last Name

IRVINE

Suffix

JR OD

Business Name

WILLIAM J IRVINE JR OD

Expiration Date

01/01/1997

City

PETERSBURG

State

Zip

62675

County

MENARD

Ever Disciplined

LastModifiedDate

09/01/2005