DAVID S EGHIGIAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929073

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

Last Name

EGHIGIAN

Business Name

DAVID S EGHIGIAN OD

Original Issue Date

10/18/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

09/11/2005