BRIAN JEFFREY PLATTNER Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934107

License Status

CANCELLED

Business

First Name

BRIAN

Middle

JEFFREY

Last Name

PLATTNER

Business Name

BRIAN JEFFREY PLATTNER

Original Issue Date

04/14/2008

Effective Date

04/14/2008

Expiration Date

03/31/2010

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/04/2010