CHARLES C ASSELL III OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930540

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

Last Name

ASSELL

Suffix

III OD

Business Name

CHARLES C ASSELL III OD

Original Issue Date

08/24/2004

Effective Date

08/24/2004

Expiration Date

03/31/2006

City

ST CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

05/11/2006