LANE DONALD RUPPE Optometrist License verification

Business Entity

INOPERATIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047007409

License Status

INOPERATIVE

Business

First Name

LANE DONALD

Last Name

RUPPE

Business Name

LANE DONALD RUPPE

Original Issue Date

07/03/1989

Effective Date

03/20/2002

Expiration Date

03/31/2002

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/01/2005