WILLIAM DAVID FIX OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927596

License Status

CANCELLED

Business

Title

First Name

WILLIAM

Middle

DAVID

Last Name

FIX

Business Name

WILLIAM DAVID FIX OD

Original Issue Date

11/16/2000

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

05/04/2010