RICHARD SCOTT CARLSON Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009441

License Status

INACTIVE

Business

First Name

RICHARD

Middle

SCOTT

Last Name

CARLSON

Business Name

RICHARD SCOTT CARLSON

Original Issue Date

06/21/2002

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

VALPARAISO

State

Zip

46383

Ever Disciplined

LastModifiedDate

01/10/2008