RICHARD A MOORE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047027071

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

Last Name

MOORE

Suffix

Business Name

RICHARD A MOORE OD

Original Issue Date

01/08/1997

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

09/11/2005