DANIEL RAY PERRINE Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935457

License Status

CANCELLED

Business

First Name

DANIEL

Middle

RAY

Last Name

PERRINE

Business Name

DANIEL RAY PERRINE

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

03/31/2010

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/04/2010