CHARLES E MCCOLLUM Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006995

License Status

NOT RENEWED

Business

First Name

CHARLES E

Last Name

MCCOLLUM

Business Name

CHARLES E MCCOLLUM

Original Issue Date

09/16/1989

Effective Date

03/25/2004

Expiration Date

03/31/2006

City

BENTON

State

Zip

62812

County

FRANKLIN

Ever Disciplined

LastModifiedDate

05/11/2006