REID ERIC MLSNA OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934190

License Status

CANCELLED

Business

First Name

REID

Middle

ERIC

Last Name

MLSNA

Suffix

Business Name

REID ERIC MLSNA OD

Original Issue Date

05/08/2008

Effective Date

05/08/2008

Expiration Date

03/31/2010

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

05/04/2010