MELISSA M MEDLOCK Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046008283

License Status

INACTIVE

Business

First Name

MELISSA M

Last Name

MEDLOCK

Business Name

MELISSA M MEDLOCK

Original Issue Date

04/21/1990

Effective Date

03/16/2004

Expiration Date

03/31/2004

City

COLDWATER

State

Zip

49036

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/11/2005