CLINT THOMAS TAYLOR OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935653

License Status

CANCELLED

Business

First Name

CLINT

Middle

THOMAS

Last Name

TAYLOR

Suffix

Business Name

CLINT THOMAS TAYLOR OD

Original Issue Date

08/31/2009

Effective Date

08/31/2009

Expiration Date

03/31/2010

City

HARRISBURG

State

Zip

62946

County

SALINE

Ever Disciplined

LastModifiedDate

05/04/2010