EVELYN MARIE MOORE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006881

License Status

NOT RENEWED

Business

First Name

EVELYN

Middle

MARIE

Last Name

MOORE

Suffix

Business Name

EVELYN MARIE MOORE OD

Original Issue Date

01/18/1980

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

ARTHUR

State

Zip

61911

County

DOUGLAS

Ever Disciplined

LastModifiedDate

09/11/2005