LISA B DIBLER OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046008649

License Status

INACTIVE

Business

First Name

LISA

Middle

Last Name

DIBLER

Suffix

Business Name

LISA B DIBLER OD

Original Issue Date

09/03/1993

Effective Date

02/13/2004

Expiration Date

03/31/2006

City

SAINT LOUIS

State

Zip

63124

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/18/2006