SAMANTHA RENEE GAGNON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046011091

License Status

NOT RENEWED

Business

Title

First Name

SAMANTHA

Middle

RENEE

Last Name

GAGNON

Business Name

SAMANTHA RENEE GAGNON OD

Original Issue Date

05/16/2017

Effective Date

02/21/2018

Expiration Date

09/30/2020

City

GOODRICH

State

Zip

48438

Ever Disciplined

LastModifiedDate

01/14/2021