LELAND DAVID PETERSON OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933738

License Status

CANCELLED

Business

First Name

LELAND

Middle

DAVID

Last Name

PETERSON

Suffix

Business Name

LELAND DAVID PETERSON OD

Original Issue Date

01/28/2008

Effective Date

01/28/2008

Expiration Date

03/31/2010

City

STERLING

State

Zip

61081

County

WHITESIDE

Ever Disciplined

LastModifiedDate

05/04/2010