SARAH ANN MACHALA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930716

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

ANN

Last Name

MACHALA

Suffix

Business Name

SARAH ANN MACHALA OD

Original Issue Date

11/10/2004

Effective Date

11/10/2004

Expiration Date

03/31/2006

City

SAVANNA

State

Zip

61074

County

CARROLL

Ever Disciplined

LastModifiedDate

05/11/2006