PHILLIP C POPHAM Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006769

License Status

NOT RENEWED

Business

First Name

PHILLIP C

Last Name

POPHAM

Business Name

PHILLIP C POPHAM

Original Issue Date

07/18/1975

Expiration Date

01/01/1997

City

LANSING

State

Zip

78910

County

MICHIGAN

Ever Disciplined

LastModifiedDate

08/31/2005