SIJIA S NOTH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009629

License Status

NOT RENEWED

Business

First Name

SIJIA

Middle

Last Name

NOTH

Suffix

Business Name

SIJIA S NOTH OD

Original Issue Date

05/18/2004

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

FORSYTH

State

Zip

62535

County

MACON

Ever Disciplined

LastModifiedDate

05/04/2010