RONALD NELSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929384

License Status

NOT RENEWED

Business

First Name

RONALD

Last Name

NELSON

Suffix

Business Name

RONALD NELSON OD

Original Issue Date

03/26/2003

Effective Date

02/09/2004

Expiration Date

03/31/2006

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

05/11/2006