JOHN RAYMOND TANNER OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009199

License Status

INACTIVE

Business

First Name

JOHN

Middle

RAYMOND

Last Name

TANNER

Suffix

Business Name

JOHN RAYMOND TANNER OD

Original Issue Date

07/30/1999

Effective Date

02/11/2002

Expiration Date

03/31/2002

City

VALPARAISO

State

Zip

46385

County

INDIANA

Ever Disciplined

LastModifiedDate

09/11/2005