DAVID P LARSEN Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046008246

License Status

INACTIVE

Business

First Name

DAVID P

Last Name

LARSEN

Business Name

DAVID P LARSEN

Original Issue Date

11/28/1989

Expiration Date

03/31/1990

City

GREENFIELD

State

Zip

53221

County

WISCONSIN

Ever Disciplined

LastModifiedDate

08/31/2005