BRIAN JEFFREY PLATTNER Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930806

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

JEFFREY

Last Name

PLATTNER

Business Name

BRIAN JEFFREY PLATTNER

Original Issue Date

12/21/2004

Effective Date

12/21/2004

Expiration Date

03/31/2006

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/11/2006