MAURICE J ENNIS Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047205635

License Status

NOT RENEWED

Business

First Name

MAURICE J

Last Name

ENNIS

Business Name

MAURICE J ENNIS

Original Issue Date

05/27/1988

Expiration Date

03/31/1990

City

BARTONVILLE

State

Zip

61609

County

PEORIA

Ever Disciplined

LastModifiedDate

09/01/2005