DAVID A GOSS Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006622

License Status

INACTIVE

Business

First Name

DAVID A

Last Name

GOSS

Business Name

DAVID A GOSS

Original Issue Date

08/14/1974

Expiration Date

03/31/1988

City

BLOOMINGTON

State

Zip

47405

County

INDIANA

Ever Disciplined

LastModifiedDate

08/31/2005