DENNIS W RABE OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931363

License Status

CANCELLED

Business

First Name

DENNIS

Middle

Last Name

RABE

Suffix

Business Name

DENNIS W RABE OD

Original Issue Date

08/10/2005

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

SHELBYVILLE

State

Zip

62565

County

SHELBY

Ever Disciplined

LastModifiedDate

05/04/2010