MARY K LAMPE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047008547

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

LAMPE

Suffix

Business Name

MARY K LAMPE OD

Original Issue Date

09/18/1992

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

VANDALIA

State

Zip

62471

County

FAYETTE

Ever Disciplined

LastModifiedDate

09/11/2005