DOUG MICHAEL NORRICK OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009574

License Status

INACTIVE

Business

First Name

DOUG

Middle

MICHAEL

Last Name

NORRICK

Suffix

Business Name

DOUG MICHAEL NORRICK OD

Original Issue Date

07/18/2003

Effective Date

05/20/2004

Expiration Date

03/31/2004

City

JOHNSON CREEK

State

Zip

53038

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/11/2005