MICHEL-ANN E FRASER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925752

License Status

NOT RENEWED

Business

First Name

MICHEL-ANN

Middle

Last Name

FRASER

Suffix

Business Name

MICHEL-ANN E FRASER OD

Original Issue Date

07/16/1998

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/11/2005