DOUGLAS GOODWIN ROSE OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009690

License Status

INACTIVE

Business

First Name

DOUGLAS

Middle

GOODWIN

Last Name

ROSE

Suffix

Business Name

DOUGLAS GOODWIN ROSE OD

Original Issue Date

07/20/2004

Effective Date

03/10/2016

Expiration Date

03/31/2018

City

ST CHARLES

State

Zip

63303

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/12/2018