LANE DONALD RUPPE Optometrist License verification

Business Entity

INOPERATIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928109

License Status

INOPERATIVE

Business

First Name

LANE DONALD

Last Name

RUPPE

Business Name

LANE DONALD RUPPE

Original Issue Date

08/24/2001

Effective Date

03/20/2002

Expiration Date

03/31/2002

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

09/01/2005