CARLTON J FOSTER Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928955

License Status

NOT RENEWED

Business

First Name

CARLTON

Middle

Last Name

FOSTER

Business Name

CARLTON J FOSTER

Original Issue Date

09/04/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/11/2005