SHARI-ANN SELANDER STORM OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047008550

License Status

NOT RENEWED

Business

First Name

SHARI-ANN

Middle

SELANDER

Last Name

STORM

Suffix

Business Name

SHARI-ANN SELANDER STORM OD

Original Issue Date

12/21/1992

Expiration Date

03/31/1996

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

09/01/2005