KIM R SHRUM Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006646

License Status

INACTIVE

Business

First Name

KIM R

Last Name

SHRUM

Business Name

KIM R SHRUM

Original Issue Date

08/14/1974

Expiration Date

03/31/1992

City

WILLIAMSBURG

State

Zip

23185

County

VIRGINIA

Ever Disciplined

LastModifiedDate

08/31/2005