KRISTOPHER LEE GLANVILLE Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010158

License Status

NOT RENEWED

Business

First Name

KRISTOPHER

Middle

LEE

Last Name

GLANVILLE

Business Name

KRISTOPHER LEE GLANVILLE

Original Issue Date

08/12/2008

Effective Date

08/12/2008

Expiration Date

03/31/2010

City

OREGON

State

Zip

53575

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/04/2010