JANICE M PETERSEN EASTY Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932194

License Status

NOT RENEWED

Business

First Name

JANICE M

Last Name

PETERSEN EASTY

Business Name

JANICE M PETERSEN EASTY

Original Issue Date

04/26/2006

Effective Date

04/26/2006

Expiration Date

03/31/2008

City

ROCKFORD

State

Zip

61112

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/02/2008