ALLAN J BRUMMEL OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934782

License Status

CANCELLED

Business

First Name

ALLAN

Middle

Last Name

BRUMMEL

Suffix

Business Name

ALLAN J BRUMMEL OD

Original Issue Date

10/24/2008

Effective Date

10/24/2008

Expiration Date

03/31/2010

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

05/04/2010