LANE DONALD RUPPE Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047017409

License Status

NOT RENEWED

Business

First Name

LANE DONALD

Last Name

RUPPE

Business Name

LANE DONALD RUPPE

Original Issue Date

01/08/1997

Expiration Date

03/31/1998

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/01/2005