RICHARD L ALLEN Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006699

License Status

CANCELLED

Business

First Name

RICHARD L

Last Name

ALLEN

Business Name

RICHARD L ALLEN

Original Issue Date

04/19/1976

Expiration Date

01/01/1997

City

PEORIA

State

Zip

61613

County

PEORIA

Ever Disciplined

LastModifiedDate

09/01/2005