STEVEN W MOORE OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933682

License Status

CANCELLED

Business

First Name

STEVEN

Middle

Last Name

MOORE

Suffix

Business Name

STEVEN W MOORE OD

Original Issue Date

01/14/2008

Effective Date

01/14/2008

Expiration Date

03/31/2010

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Ever Disciplined

LastModifiedDate

05/04/2010