MARY BETH GORAZD OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925992

License Status

NOT RENEWED

Business

First Name

MARY

Middle

BETH

Last Name

GORAZD

Suffix

Business Name

MARY BETH GORAZD OD

Original Issue Date

11/19/1998

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/11/2005