BRANDON DOUGLAS SHEETZ OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930650

License Status

NOT RENEWED

Business

First Name

BRANDON

Middle

DOUGLAS

Last Name

SHEETZ

Suffix

Business Name

BRANDON DOUGLAS SHEETZ OD

Original Issue Date

10/04/2004

Effective Date

10/04/2004

Expiration Date

03/31/2006

City

ROCKFORD

State

Zip

61112

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2006