REID ERIC MLSNA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929566

License Status

NOT RENEWED

Business

First Name

REID

Middle

ERIC

Last Name

MLSNA

Suffix

Business Name

REID ERIC MLSNA OD

Original Issue Date

08/04/2003

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/11/2005