BRANDY LYNN VAUGHN Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930602

License Status

CANCELLED

Business

First Name

BRANDY

Middle

LYNN

Last Name

VAUGHN

Business Name

BRANDY LYNN VAUGHN

Original Issue Date

09/21/2004

Effective Date

09/21/2004

Expiration Date

03/31/2006

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/01/2005