ALLAN J BRUMMEL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928271

License Status

NOT RENEWED

Business

First Name

ALLAN

Middle

Last Name

BRUMMEL

Suffix

Business Name

ALLAN J BRUMMEL OD

Original Issue Date

10/31/2001

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

09/11/2005