RONALD E SERFOSS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006593

License Status

NOT RENEWED

Business

First Name

RONALD

Middle

Last Name

SERFOSS

Suffix

Business Name

RONALD E SERFOSS OD

Original Issue Date

11/05/1991

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

WATSEKA

State

Zip

60970

County

IROQUOIS

Ever Disciplined

LastModifiedDate

09/11/2005