TIMOTHY D BUSEY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927149

License Status

NOT RENEWED

Business

Title

First Name

TIMOTHY

Middle

Last Name

BUSEY

Business Name

TIMOTHY D BUSEY OD

Original Issue Date

05/18/2000

Effective Date

03/18/2004

Expiration Date

03/31/2006

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

05/11/2006