EUGENE T BOECKELMAN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047105719

License Status

NOT RENEWED

Business

First Name

EUGENE T

Last Name

BOECKELMAN

Business Name

EUGENE T BOECKELMAN

Original Issue Date

03/16/1982

Expiration Date

03/31/1984

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/01/2005