RICHARD B HAMM OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925585

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

Last Name

HAMM

Suffix

Business Name

RICHARD B HAMM OD

Original Issue Date

03/18/1998

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

MENARD

State

Zip

62259

County

RANDOLPH

Ever Disciplined

LastModifiedDate

09/11/2005