DAVID S BLACK Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006807

License Status

INACTIVE

Business

First Name

DAVID S

Last Name

BLACK

Business Name

DAVID S BLACK

Original Issue Date

07/15/1976

Expiration Date

03/31/1990

City

TWO RIVERS

State

Zip

54241

County

WISCONSIN

Ever Disciplined

LastModifiedDate

08/31/2005