STANLEY D DUSHMAN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047395878

License Status

NOT RENEWED

Business

First Name

STANLEY

Middle

Last Name

DUSHMAN

Business Name

STANLEY D DUSHMAN

Original Issue Date

01/09/1995

Expiration Date

03/31/1996

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/01/2005