VALERIE LYNN FRAZER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930414

License Status

NOT RENEWED

Business

First Name

VALERIE

Middle

LYNN

Last Name

FRAZER

Suffix

Business Name

VALERIE LYNN FRAZER OD

Original Issue Date

08/05/2004

Effective Date

08/05/2004

Expiration Date

03/31/2006

City

ROCKFORD

State

Zip

61112

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2006