MILLARD H PREVETTE Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047206100

License Status

NOT RENEWED

Business

First Name

MILLARD H

Last Name

PREVETTE

Business Name

MILLARD H PREVETTE

Original Issue Date

11/16/1988

Expiration Date

03/31/1990

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/01/2005