RICK E PETERSON OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935410

License Status

CANCELLED

Business

Title

First Name

RICK

Middle

Last Name

PETERSON

Business Name

RICK E PETERSON OD

Original Issue Date

06/15/2009

Effective Date

06/15/2009

Expiration Date

03/31/2010

City

MANHATTAN

State

Zip

60442

County

WILL

Ever Disciplined

LastModifiedDate

05/04/2010