JAMES M STEVENS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932894

License Status

NOT RENEWED

Business

Title

First Name

JAMES

Middle

Last Name

STEVENS

Business Name

JAMES M STEVENS OD

Original Issue Date

03/08/2007

Effective Date

03/08/2007

Expiration Date

03/31/2008

City

ROCKFORD

State

Zip

61112

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/02/2008