EDWARD JASPER LUDLAM Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047036081

License Status

NOT RENEWED

Business

First Name

EDWARD JASPER

Last Name

LUDLAM

Business Name

EDWARD JASPER LUDLAM

Original Issue Date

04/29/1993

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

09/11/2005