BARBARA E OTT OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926031

License Status

NOT RENEWED

Business

First Name

BARBARA E

Last Name

OTT

Suffix

Business Name

BARBARA E OTT OD

Original Issue Date

12/15/1998

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

PEORIA

State

Zip

61613

County

PEORIA

Ever Disciplined

LastModifiedDate

09/11/2005