BETH A WESTELL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927587

License Status

NOT RENEWED

Business

First Name

BETH A

Last Name

WESTELL

Suffix

Business Name

BETH A WESTELL OD

Original Issue Date

11/15/2000

Effective Date

12/17/2002

Expiration Date

03/31/2002

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

09/11/2005