ALAN D MONTGOMERY OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926816

License Status

CANCELLED

Business

First Name

ALAN

Middle

Last Name

MONTGOMERY

Suffix

Business Name

ALAN D MONTGOMERY OD

Original Issue Date

03/02/2000

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

INA

State

Zip

62846

County

JEFFERSON

Ever Disciplined

LastModifiedDate

05/04/2010