KIMBERLY L GUNDERSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929258

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

GUNDERSON

Suffix

Business Name

KIMBERLY L GUNDERSON OD

Original Issue Date

01/29/2003

Effective Date

02/24/2004

Expiration Date

03/31/2006

City

CARMI

State

Zip

62821

County

WHITE

Ever Disciplined

LastModifiedDate

05/11/2006