BRANDON DOUGLAS SHEETZ OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009508

License Status

INACTIVE

Business

First Name

BRANDON

Middle

DOUGLAS

Last Name

SHEETZ

Suffix

Business Name

BRANDON DOUGLAS SHEETZ OD

Original Issue Date

09/16/2002

Effective Date

03/19/2010

Expiration Date

03/31/2012

City

MACHENSEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/12/2012