JENNIFER SUSAN MAHURIN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927721

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

SUSAN

Last Name

MAHURIN

Suffix

Business Name

JENNIFER SUSAN MAHURIN OD

Original Issue Date

02/05/2001

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

VANDALIA

State

Zip

62471

County

FAYETTE

Ever Disciplined

LastModifiedDate

05/02/2008