AMY D SMITH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046008417

License Status

NOT RENEWED

Business

First Name

AMY D

Last Name

SMITH

Suffix

Business Name

AMY D SMITH OD

Original Issue Date

09/21/1991

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

09/11/2005