JOSEPH MICHAEL FAGELMAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009135

License Status

NOT RENEWED

Business

First Name

JOSEPH

Middle

MICHAEL

Last Name

FAGELMAN

Suffix

Business Name

JOSEPH MICHAEL FAGELMAN OD

Original Issue Date

09/01/1998

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

MARYVILLE

State

Zip

64468

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/11/2005