RYAN LYNN VON HOLTEN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929790

License Status

CANCELLED

Business

First Name

RYAN

Middle

LYNN

Last Name

VON HOLTEN

Suffix

Business Name

RYAN LYNN VON HOLTEN OD

Original Issue Date

10/16/2003

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

05/04/2010