BRIAN JEFFREY PLATTNER Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934736

License Status

CANCELLED

Business

First Name

BRIAN

Middle

JEFFREY

Last Name

PLATTNER

Business Name

BRIAN JEFFREY PLATTNER

Original Issue Date

10/09/2008

Effective Date

10/09/2008

Expiration Date

03/31/2010

City

MENARD

State

Zip

62259

County

RANDOLPH

Ever Disciplined

LastModifiedDate

05/04/2010