RICK E PETERSON OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047018476

License Status

CANCELLED

Business

Title

First Name

RICK

Middle

Last Name

PETERSON

Business Name

RICK E PETERSON OD

Original Issue Date

07/24/1996

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

05/04/2010