AMY JOANNE KNICKERBOCKER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927823

License Status

NOT RENEWED

Business

First Name

AMY

Middle

JOANNE

Last Name

KNICKERBOCKER

Suffix

Business Name

AMY JOANNE KNICKERBOCKER OD

Original Issue Date

03/29/2001

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

PITTSFIELD

State

Zip

62363

County

PIKE

Ever Disciplined

LastModifiedDate

09/11/2005