RICHARD B HAMM OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047007609

License Status

CANCELLED

Business

First Name

RICHARD

Middle

Last Name

HAMM

Suffix

Business Name

RICHARD B HAMM OD

Original Issue Date

10/01/1986

Expiration Date

03/31/1994

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

09/01/2005