TED W BROWN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925930

License Status

NOT RENEWED

Business

First Name

TED W

Last Name

BROWN

Suffix

Business Name

TED W BROWN OD

Original Issue Date

10/09/1998

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

HARRISBURG

State

Zip

62946

County

SALINE

Ever Disciplined

LastModifiedDate

09/11/2005