RICHARD E ANDERSON Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006700

License Status

NOT RENEWED

Business

First Name

RICHARD E

Last Name

ANDERSON

Business Name

RICHARD E ANDERSON

Original Issue Date

06/22/1993

Expiration Date

03/31/1994

City

ROCKFORD

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/01/2005