DIRK F MASSIE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928465

License Status

NOT RENEWED

Business

First Name

DIRK

Middle

Last Name

MASSIE

Suffix

Business Name

DIRK F MASSIE OD

Original Issue Date

03/01/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

MASCOUTAH

State

Zip

62258

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/11/2005