ALEX N MANERA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929016

License Status

NOT RENEWED

Business

First Name

ALEX N

Last Name

MANERA

Suffix

Business Name

ALEX N MANERA OD

Original Issue Date

09/26/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/11/2005