PENNY SUE WILLIAMS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925987

License Status

NOT RENEWED

Business

First Name

PENNY

Middle

SUE

Last Name

WILLIAMS

Suffix

Business Name

PENNY SUE WILLIAMS OD

Original Issue Date

11/16/1998

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

09/11/2005