BRIAN W PECK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927954

License Status

NOT RENEWED

Business

First Name

BRIAN W

Last Name

PECK

Suffix

Business Name

BRIAN W PECK OD

Original Issue Date

06/22/2001

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

09/11/2005