DOUGLAS R WATSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927263

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

Last Name

WATSON

Suffix

Business Name

DOUGLAS R WATSON OD

Original Issue Date

06/27/2000

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/11/2005