ANGELA JO ERNST Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928381

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

Last Name

ERNST

Business Name

ANGELA JO ERNST

Original Issue Date

01/28/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/11/2005