ALAN D MONTGOMERY OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047308277

License Status

CANCELLED

Business

First Name

ALAN

Middle

Last Name

MONTGOMERY

Suffix

Business Name

ALAN D MONTGOMERY OD

Original Issue Date

06/26/1990

Expiration Date

03/31/1992

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

09/01/2005