DOUGLAS A GROVE Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047057698

License Status

NOT RENEWED

Business

First Name

DOUGLAS A

Last Name

GROVE

Business Name

DOUGLAS A GROVE

Original Issue Date

11/20/1995

Expiration Date

03/31/1996

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

09/01/2005