RICHARD S NEWCOMB Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047017735

License Status

CANCELLED

Business

First Name

RICHARD

Middle

Last Name

NEWCOMB

Business Name

RICHARD S NEWCOMB

Original Issue Date

03/21/1996

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/04/2010