J ALLEN POTTER Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925401

License Status

CANCELLED

Business

First Name

J ALLEN

Last Name

POTTER

Business Name

J ALLEN POTTER

Original Issue Date

07/29/1997

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

05/04/2010