RACHEL KERN GLANVILLE Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935609

License Status

CANCELLED

Business

First Name

RACHEL

Middle

KERN

Last Name

GLANVILLE

Business Name

RACHEL KERN GLANVILLE

Original Issue Date

08/17/2009

Effective Date

08/17/2009

Expiration Date

03/31/2010

City

ROCKFORD

State

Zip

61112

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/04/2010