DAVID A MAZE OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009686

License Status

INACTIVE

Business

First Name

DAVID

Middle

Last Name

MAZE

Suffix

Business Name

DAVID A MAZE OD

Original Issue Date

07/09/2004

Effective Date

05/24/2022

Expiration Date

03/31/2024

City

MEMPHIS

State

Zip

38104

Ever Disciplined

LastModifiedDate

03/20/2024