MICHAEL MATTHEW MERLENBACH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929561

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

MATTHEW

Last Name

MERLENBACH

Suffix

Business Name

MICHAEL MATTHEW MERLENBACH OD

Original Issue Date

08/04/2003

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

09/11/2005