STEPHANIE RAE GOGGIN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927316

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

RAE

Last Name

GOGGIN

Suffix

Business Name

STEPHANIE RAE GOGGIN OD

Original Issue Date

08/09/2000

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/02/2008