DALE J SWETLISHNOFF OD Optometrist License verification

Business Entity

INOPERATIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047048093

License Status

INOPERATIVE

Business

Title

First Name

DALE

Middle

Last Name

SWETLISHNOFF

Business Name

DALE J SWETLISHNOFF OD

Original Issue Date

06/13/1996

Effective Date

03/20/2002

Expiration Date

03/31/2002

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

09/01/2005