LORIE MICHELLE MCREYNOLDS OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933680

License Status

CANCELLED

Business

First Name

LORIE

Middle

MICHELLE

Last Name

MCREYNOLDS

Suffix

Business Name

LORIE MICHELLE MCREYNOLDS OD

Original Issue Date

01/10/2008

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

05/04/2010