CHRISTOPHER D MARTIN II OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931504

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER

Middle

Last Name

MARTIN

Suffix

II OD

Business Name

CHRISTOPHER D MARTIN II OD

Original Issue Date

09/22/2005

Effective Date

09/22/2005

Expiration Date

03/31/2006

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2006