JENNIFER SUSAN MAHURIN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927716

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

SUSAN

Last Name

MAHURIN

Suffix

Business Name

JENNIFER SUSAN MAHURIN OD

Original Issue Date

02/02/2001

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

09/11/2005