JASON RICHARD DIEHL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929666

License Status

NOT RENEWED

Business

Title

First Name

JASON

Middle

RICHARD

Last Name

DIEHL

Business Name

JASON RICHARD DIEHL OD

Original Issue Date

09/17/2003

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

05/02/2008