RONALD NELSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929393

License Status

NOT RENEWED

Business

First Name

RONALD

Last Name

NELSON

Suffix

Business Name

RONALD NELSON OD

Original Issue Date

03/27/2003

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

09/11/2005