WILLIAM R SKUTTA Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047306493

License Status

CANCELLED

Business

First Name

WILLIAM R

Last Name

SKUTTA

Business Name

WILLIAM R SKUTTA

Original Issue Date

07/02/1976

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

SANDWICH

State

Zip

60548

County

DEKALB

Ever Disciplined

LastModifiedDate

05/04/2010