DAVID L ANDERSON Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047036604

License Status

NOT RENEWED

Business

First Name

DAVID L

Last Name

ANDERSON

Business Name

DAVID L ANDERSON

Original Issue Date

03/01/1993

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

09/11/2005