MICHELLE ROSE WILLENBRING OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931121

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

ROSE

Last Name

WILLENBRING

Suffix

Business Name

MICHELLE ROSE WILLENBRING OD

Original Issue Date

04/21/2005

Effective Date

04/21/2005

Expiration Date

03/31/2006

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/11/2006