ALEX N MANERA OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932865

License Status

CANCELLED

Business

First Name

ALEX N

Last Name

MANERA

Suffix

Business Name

ALEX N MANERA OD

Original Issue Date

02/09/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

05/04/2010