GARY R ROSE Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007017

License Status

INACTIVE

Business

First Name

GARY R

Last Name

ROSE

Business Name

GARY R ROSE

Original Issue Date

07/29/1977

Expiration Date

03/31/1984

City

GLENDALE

State

Zip

53209

County

WISCONSIN

Ever Disciplined

LastModifiedDate

08/31/2005