RICKI D ANDERSEN Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006937

License Status

INACTIVE

Business

First Name

RICKI D

Last Name

ANDERSEN

Business Name

RICKI D ANDERSEN

Original Issue Date

07/29/1977

Expiration Date

03/31/1986

City

RACINE

State

Zip

53405

County

WISCONSIN

Ever Disciplined

LastModifiedDate

08/31/2005