LELAND DAVID PETERSON OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047007274

License Status

CANCELLED

Business

First Name

LELAND

Middle

DAVID

Last Name

PETERSON

Suffix

Business Name

LELAND DAVID PETERSON OD

Original Issue Date

03/19/1986

Expiration Date

03/31/1988

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

09/01/2005