MICHAEL L RUSSELL Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006641

License Status

INACTIVE

Business

First Name

MICHAEL L

Last Name

RUSSELL

Business Name

MICHAEL L RUSSELL

Original Issue Date

08/14/1974

Expiration Date

03/31/1984

City

WEST BLOOMFIELD

State

Zip

48033

County

MICHIGAN

Ever Disciplined

LastModifiedDate

08/31/2005