EDMUND FRED MEHLAN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047206002

License Status

NOT RENEWED

Business

First Name

EDMUND FRED

Last Name

MEHLAN

Business Name

EDMUND FRED MEHLAN

Original Issue Date

06/12/1986

Expiration Date

03/31/1990

City

EAST ALTON

State

Zip

62024

County

JEFFERSON

Ever Disciplined

LastModifiedDate

09/01/2005