BRANDON DOUGLAS SHEETZ OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929062

License Status

NOT RENEWED

Business

First Name

BRANDON

Middle

DOUGLAS

Last Name

SHEETZ

Suffix

Business Name

BRANDON DOUGLAS SHEETZ OD

Original Issue Date

10/18/2002

Effective Date

10/22/2002

Expiration Date

03/31/2004

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/11/2005