KATHLEEN T MATTINGLY OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046008853

License Status

INACTIVE

Business

First Name

KATHLEEN T

Last Name

MATTINGLY

Suffix

Business Name

KATHLEEN T MATTINGLY OD

Original Issue Date

09/18/1995

Expiration Date

03/31/1998

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

08/31/2005