JEFFREY M SMITH Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007704

License Status

INACTIVE

Business

First Name

JEFFREY M

Last Name

SMITH

Business Name

JEFFREY M SMITH

Original Issue Date

02/07/1984

Expiration Date

03/31/1998

City

WHITEFISH BAY

State

Zip

53217

County

WISCONSIN

Ever Disciplined

LastModifiedDate

08/31/2005

Case Number

1996012064

Action

Fine

Discipline Start Date

12/29/1997

Discipline Reason

Failing to provide sufficient proof of required continuing education hours during a Department audit.