J DAVID WEBER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930203

License Status

NOT RENEWED

Business

First Name

Middle

DAVID

Last Name

WEBER

Suffix

Business Name

J DAVID WEBER OD

Original Issue Date

05/26/2004

Effective Date

05/26/2004

Expiration Date

03/31/2006

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

05/11/2006