SUE A FEATHER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929191

License Status

NOT RENEWED

Business

First Name

SUE A

Last Name

FEATHER

Suffix

Business Name

SUE A FEATHER OD

Original Issue Date

12/06/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/11/2005