EARL R ELLIS Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047204600

License Status

NOT RENEWED

Business

First Name

EARL R

Last Name

ELLIS

Business Name

EARL R ELLIS

Original Issue Date

05/08/1991

Expiration Date

03/31/1996

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

09/01/2005