DARRIN VITS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928759

License Status

NOT RENEWED

Business

Title

First Name

DARRIN

Last Name

VITS

Business Name

DARRIN VITS OD

Original Issue Date

06/20/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

09/11/2005