ROSS W MLSNA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047008133

License Status

NOT RENEWED

Business

First Name

ROSS

Middle

Last Name

MLSNA

Suffix

Business Name

ROSS W MLSNA OD

Original Issue Date

11/02/1988

Expiration Date

03/31/1990

City

AURORA

State

Zip

60505

County

KANE

Ever Disciplined

LastModifiedDate

09/01/2005