BENNA K DAUGHERTY Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047007542

License Status

NOT RENEWED

Business

First Name

BENNA K

Last Name

DAUGHERTY

Business Name

BENNA K DAUGHERTY

Original Issue Date

11/14/1996

Effective Date

04/04/2006

Expiration Date

03/31/2008

City

CARRIER MILLS

State

Zip

62917

County

SALINE

Ever Disciplined

LastModifiedDate

05/02/2008