SUSAN ANDREA SEABOLD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010192

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

ANDREA

Last Name

SEABOLD

Business Name

SUSAN ANDREA SEABOLD

Original Issue Date

03/20/2009

Effective Date

02/03/2010

Expiration Date

03/31/2012

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

05/16/2012