CRAIG FORREST ROUSE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927651

License Status

NOT RENEWED

Business

First Name

CRAIG

Middle

FORREST

Last Name

ROUSE

Suffix

Business Name

CRAIG FORREST ROUSE OD

Original Issue Date

12/14/2000

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

GENESEO

State

Zip

61254

County

HENRY

Ever Disciplined

LastModifiedDate

09/11/2005