MICHELLE KAY MALCHOW Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010440

License Status

INACTIVE

Business

First Name

MICHELLE

Middle

KAY

Last Name

MALCHOW

Business Name

MICHELLE KAY MALCHOW

Original Issue Date

06/28/2011

Effective Date

02/05/2014

Expiration Date

03/31/2016

City

BAXTER

State

Zip

56425

Ever Disciplined

LastModifiedDate

02/05/2014