RONALD E SERFOSS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925352

License Status

NOT RENEWED

Business

First Name

RONALD

Middle

Last Name

SERFOSS

Suffix

Business Name

RONALD E SERFOSS OD

Original Issue Date

06/03/1997

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/02/2008