TIMOTHY D BUSEY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047058141

License Status

NOT RENEWED

Business

Title

First Name

TIMOTHY

Middle

Last Name

BUSEY

Business Name

TIMOTHY D BUSEY OD

Original Issue Date

10/30/1996

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

09/11/2005