RICHARD L ALLEN Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047106699

License Status

CANCELLED

Business

First Name

RICHARD L

Last Name

ALLEN

Business Name

RICHARD L ALLEN

Original Issue Date

10/11/1979

Expiration Date

01/01/1997

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/01/2005