MERVI H LEYENDECKERS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047018462

License Status

NOT RENEWED

Business

First Name

MERVI H

Last Name

LEYENDECKERS

Suffix

Business Name

MERVI H LEYENDECKERS OD

Original Issue Date

05/18/1996

Expiration Date

03/31/1998

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/01/2005