DAX ALAN GAY OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009141

License Status

INACTIVE

Business

First Name

DAX

Middle

ALAN

Last Name

GAY

Suffix

Business Name

DAX ALAN GAY OD

Original Issue Date

10/02/1998

Effective Date

03/29/2012

Expiration Date

03/31/2014

City

JOHNSON CITY

State

Zip

37615

County

TENNESSEE

Ever Disciplined

LastModifiedDate

01/09/2014