BRENTON D ORMISTON Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009939

License Status

INACTIVE

Business

First Name

BRENTON

Middle

Last Name

ORMISTON

Business Name

BRENTON D ORMISTON

Original Issue Date

04/30/2007

Effective Date

02/29/2012

Expiration Date

03/31/2014

City

BLOOMINGTON

State

Zip

47401

County

INDIANA

Ever Disciplined

LastModifiedDate

01/09/2014