ANGEL NOVEL SIMMONS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933574

License Status

NOT RENEWED

Business

First Name

ANGEL

Middle

NOVEL

Last Name

SIMMONS

Suffix

Business Name

ANGEL NOVEL SIMMONS OD

Original Issue Date

11/16/2007

Effective Date

11/16/2007

Expiration Date

03/31/2008

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/02/2008