J DAVID WEBER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930279

License Status

NOT RENEWED

Business

First Name

Middle

DAVID

Last Name

WEBER

Suffix

Business Name

J DAVID WEBER OD

Original Issue Date

06/07/2004

Effective Date

06/07/2004

Expiration Date

03/31/2006

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

05/11/2006