REID ERIC MLSNA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931556

License Status

NOT RENEWED

Business

First Name

REID

Middle

ERIC

Last Name

MLSNA

Suffix

Business Name

REID ERIC MLSNA OD

Original Issue Date

10/18/2005

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/02/2008