TRENTON GLENN WARNER OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934254

License Status

CANCELLED

Business

First Name

TRENTON

Middle

GLENN

Last Name

WARNER

Suffix

Business Name

TRENTON GLENN WARNER OD

Original Issue Date

06/03/2008

Effective Date

06/03/2008

Expiration Date

03/31/2010

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/04/2010