WINONA MARIE RICHNO VAN HOUTEN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933333

License Status

CANCELLED

Business

First Name

WINONA

Middle

MARIE RICHNO

Last Name

VAN HOUTEN

Suffix

Business Name

WINONA MARIE RICHNO VAN HOUTEN OD

Original Issue Date

08/24/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

SPARTA

State

Zip

62286

County

RANDOLPH

Ever Disciplined

LastModifiedDate

05/04/2010