P A MERA Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047205617

License Status

NOT RENEWED

Business

First Name

P A

Last Name

MERA

Business Name

P A MERA

Original Issue Date

12/22/1986

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/11/2005