ERIC ROY NORELL OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930402

License Status

CANCELLED

Business

First Name

ERIC

Middle

ROY

Last Name

NORELL

Suffix

Business Name

ERIC ROY NORELL OD

Original Issue Date

07/19/2004

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/04/2010