ANNE FRANCES POLASEK OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009467

License Status

INACTIVE

Business

First Name

ANNE

Middle

FRANCES

Last Name

POLASEK

Suffix

Business Name

ANNE FRANCES POLASEK OD

Original Issue Date

06/26/2002

Effective Date

03/17/2004

Expiration Date

03/31/2004

City

MOUNT VERNON

State

Zip

65712

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/11/2005