STEPHANIE RAE GOGGIN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933657

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

RAE

Last Name

GOGGIN

Suffix

Business Name

STEPHANIE RAE GOGGIN OD

Original Issue Date

12/27/2007

Effective Date

12/27/2007

Expiration Date

03/31/2008

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

05/02/2008