BRIAN M ROSS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009733

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

ROSS

Suffix

Business Name

BRIAN M ROSS OD

Original Issue Date

01/04/2005

Effective Date

03/31/2014

Expiration Date

03/31/2016

City

TERRE HAUTE

State

Zip

47807

County

INDIANA

Ever Disciplined

LastModifiedDate

05/20/2016