PAUL K ANTHONY OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007078

License Status

INACTIVE

Business

First Name

PAUL

Middle

Last Name

ANTHONY

Suffix

Business Name

PAUL K ANTHONY OD

Original Issue Date

07/27/1978

Effective Date

01/23/2012

Expiration Date

03/31/2014

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/09/2014