GLENN T GOUGH Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046003653

License Status

NOT RENEWED

Business

First Name

GLENN T

Last Name

GOUGH

Business Name

GLENN T GOUGH

Expiration Date

05/01/1982

City

SPRINGFIELD

State

Zip

65804

County

MISSOURI

Ever Disciplined

LastModifiedDate

08/31/2005