MICHAEL A WILLIAMS OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931605

License Status

CANCELLED

Business

First Name

MICHAEL

Middle

Last Name

WILLIAMS

Suffix

Business Name

MICHAEL A WILLIAMS OD

Original Issue Date

11/08/2005

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

05/04/2010