JOSEPH D WARNER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929602

License Status

NOT RENEWED

Business

First Name

JOSEPH

Middle

Last Name

WARNER

Suffix

Business Name

JOSEPH D WARNER OD

Original Issue Date

08/05/2003

Effective Date

03/09/2004

Expiration Date

03/31/2006

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

05/11/2006