ALAN D MONTGOMERY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047208277

License Status

NOT RENEWED

Business

First Name

ALAN

Middle

Last Name

MONTGOMERY

Suffix

Business Name

ALAN D MONTGOMERY OD

Original Issue Date

05/18/1990

Expiration Date

03/31/1992

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/01/2005