WILLIAM EDWARD FISH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047306834

License Status

NOT RENEWED

Business

First Name

WILLIAM

Middle

EDWARD

Last Name

FISH

Suffix

Business Name

WILLIAM EDWARD FISH OD

Original Issue Date

08/12/1991

Expiration Date

03/31/1992

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

09/01/2005