RANDALL I BAUGHMAN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047008105

License Status

NOT RENEWED

Business

First Name

RANDALL I

Last Name

BAUGHMAN

Business Name

RANDALL I BAUGHMAN

Original Issue Date

08/02/1995

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

CENTRALIA

State

Zip

62801

County

CLINTON

Ever Disciplined

LastModifiedDate

09/11/2005