PAUL K ELLEFSON Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046005730

License Status

NOT RENEWED

Business

First Name

PAUL K

Last Name

ELLEFSON

Business Name

PAUL K ELLEFSON

Expiration Date

05/01/1982

City

KENOSHA

State

Zip

53140

County

WISCONSIN

Ever Disciplined

LastModifiedDate

08/31/2005