MARY K LAMPE OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047028547

License Status

CANCELLED

Business

First Name

MARY

Middle

Last Name

LAMPE

Suffix

Business Name

MARY K LAMPE OD

Original Issue Date

09/28/1995

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

05/04/2010