AUSTEN LEE TANNER Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010923

License Status

INACTIVE

Business

First Name

AUSTEN

Middle

LEE

Last Name

TANNER

Business Name

AUSTEN LEE TANNER

Original Issue Date

07/10/2015

Effective Date

01/17/2018

Expiration Date

09/30/2020

City

BEAVERCREEK

State

Zip

45440

Ever Disciplined

LastModifiedDate

01/04/2020