STEPHANIE RAE GOGGIN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927307

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

RAE

Last Name

GOGGIN

Suffix

Business Name

STEPHANIE RAE GOGGIN OD

Original Issue Date

07/31/2000

Effective Date

01/26/2007

Expiration Date

03/31/2008

City

GIRARD

State

Zip

62640

County

MACOUPIN

Ever Disciplined

LastModifiedDate

05/02/2008