CHARLES DOUGLAS PEARSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926218

License Status

NOT RENEWED

Business

First Name

CHARLES DOUGLAS

Last Name

PEARSON

Suffix

Business Name

CHARLES DOUGLAS PEARSON OD

Original Issue Date

04/21/1999

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/11/2005