DALE J SWETLISHNOFF OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047038093

License Status

NOT RENEWED

Business

Title

First Name

DALE

Middle

Last Name

SWETLISHNOFF

Business Name

DALE J SWETLISHNOFF OD

Original Issue Date

08/09/1995

Expiration Date

03/31/1996

City

NASHVILLE

State

Zip

62263

County

WASHINGTON

Ever Disciplined

LastModifiedDate

09/01/2005