JOHN R EIGENBRODT Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047008144

License Status

NOT RENEWED

Business

First Name

JOHN R

Last Name

EIGENBRODT

Business Name

JOHN R EIGENBRODT

Original Issue Date

11/07/1994

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

COLUMBIA

State

Zip

62236

County

MONROE

Ever Disciplined

LastModifiedDate

09/11/2005