JANICE M PETERSEN EASTY Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934271

License Status

CANCELLED

Business

First Name

JANICE M

Last Name

PETERSEN EASTY

Business Name

JANICE M PETERSEN EASTY

Original Issue Date

06/09/2008

Effective Date

06/09/2008

Expiration Date

03/31/2010

City

ROCKFORD

State

Zip

61112

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/04/2010