KURTIS M CARLSON Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047008272

License Status

NOT RENEWED

Business

First Name

KURTIS M

Last Name

CARLSON

Business Name

KURTIS M CARLSON

Original Issue Date

06/05/1990

Expiration Date

03/31/1992

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

09/01/2005