RICHARD T KIRSTEN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006230

License Status

NOT RENEWED

Business

First Name

RICHARD T

Last Name

KIRSTEN

Business Name

RICHARD T KIRSTEN

Original Issue Date

08/26/1994

Effective Date

04/05/2004

Expiration Date

03/31/2006

City

CHRISMAN

State

Zip

61924

County

EDGAR

Ever Disciplined

LastModifiedDate

05/11/2006