ERIC ERNEST POLK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009106

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

ERNEST

Last Name

POLK

Suffix

Business Name

ERIC ERNEST POLK OD

Original Issue Date

08/04/1998

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

ST LOUIS

State

Zip

63130

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/11/2005