KURT JACOB BENNETT OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010748

License Status

INACTIVE

Business

Title

First Name

KURT

Middle

JACOB

Last Name

BENNETT

Business Name

KURT JACOB BENNETT OD

Original Issue Date

10/15/2013

Effective Date

10/15/2013

Expiration Date

03/31/2014

City

BALTIMORE

State

Zip

21231

Ever Disciplined

LastModifiedDate

10/15/2013