JOHN ANTON ALEXANDER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928497

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

ANTON

Last Name

ALEXANDER

Suffix

Business Name

JOHN ANTON ALEXANDER OD

Original Issue Date

03/22/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/11/2005