RAVINA RYAN STURGEON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931256

License Status

NOT RENEWED

Business

First Name

RAVINA

Middle

RYAN

Last Name

STURGEON

Suffix

Business Name

RAVINA RYAN STURGEON OD

Original Issue Date

06/30/2005

Effective Date

06/30/2005

Expiration Date

03/31/2006

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

05/11/2006