BARBARA E OTT OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926162

License Status

NOT RENEWED

Business

First Name

BARBARA E

Last Name

OTT

Suffix

Business Name

BARBARA E OTT OD

Original Issue Date

03/23/1999

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/02/2008