DOUGLAS W DEVORE Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925941

License Status

CANCELLED

Business

First Name

DOUGLAS W

Last Name

DEVORE

Business Name

DOUGLAS W DEVORE

Original Issue Date

10/21/1998

Effective Date

03/10/2006

Expiration Date

03/31/2008

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

03/10/2006