JOSEPH R BASILE Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046005903

License Status

NOT RENEWED

Business

First Name

JOSEPH R

Last Name

BASILE

Business Name

JOSEPH R BASILE

Expiration Date

03/31/1990

City

FORT WAYNE

State

Zip

46802

County

INDIANA

Ever Disciplined

LastModifiedDate

08/31/2005