DANIEL PHILIP WALSH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926907

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

PHILIP

Last Name

WALSH

Suffix

Business Name

DANIEL PHILIP WALSH OD

Original Issue Date

04/04/2000

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/11/2005