KENNETH G CRUTCHFIELD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007911

License Status

INACTIVE

Business

First Name

KENNETH G

Last Name

CRUTCHFIELD

Business Name

KENNETH G CRUTCHFIELD

Original Issue Date

08/18/1986

Effective Date

03/27/2002

Expiration Date

03/31/2002

City

JEFFERSON CITY

State

Zip

65109

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/11/2005