AMY JOANNE KNICKERBOCKER OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929836

License Status

CANCELLED

Business

First Name

AMY

Middle

JOANNE

Last Name

KNICKERBOCKER

Suffix

Business Name

AMY JOANNE KNICKERBOCKER OD

Original Issue Date

11/03/2003

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

05/04/2010