RICHARD A MOORE OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928196

License Status

CANCELLED

Business

First Name

RICHARD

Middle

Last Name

MOORE

Suffix

Business Name

RICHARD A MOORE OD

Original Issue Date

10/01/2001

Effective Date

12/16/2003

Expiration Date

03/31/2006

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/18/2006