JERROLD C RUSSELL Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007773

License Status

INACTIVE

Business

First Name

JERROLD C

Last Name

RUSSELL

Business Name

JERROLD C RUSSELL

Original Issue Date

08/20/1984

Expiration Date

03/31/1988

City

COLUMBUS

State

Zip

53925

County

WISCONSIN

Ever Disciplined

LastModifiedDate

08/31/2005