EDWARD JASPER LUDLAM Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925223

License Status

NOT RENEWED

Business

First Name

EDWARD JASPER

Last Name

LUDLAM

Business Name

EDWARD JASPER LUDLAM

Original Issue Date

02/05/1997

Effective Date

06/12/1999

Expiration Date

03/31/1998

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/01/2005