LORI A FEEZOR-RIBBLE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929145

License Status

NOT RENEWED

Business

First Name

LORI

Middle

Last Name

FEEZOR-RIBBLE

Suffix

Business Name

LORI A FEEZOR-RIBBLE OD

Original Issue Date

11/15/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/11/2005