RAVINA RYAN STURGEON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929326

License Status

NOT RENEWED

Business

First Name

RAVINA

Middle

RYAN

Last Name

STURGEON

Suffix

Business Name

RAVINA RYAN STURGEON OD

Original Issue Date

02/20/2003

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

09/11/2005