CHRISTOPHER D MARTIN II OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929921

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER

Middle

Last Name

MARTIN

Suffix

II OD

Business Name

CHRISTOPHER D MARTIN II OD

Original Issue Date

12/19/2003

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CARMI

State

Zip

62821

County

WHITE

Ever Disciplined

LastModifiedDate

09/11/2005