KIMBERLY L GUNDERSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930810

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

GUNDERSON

Suffix

Business Name

KIMBERLY L GUNDERSON OD

Original Issue Date

12/22/2004

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/02/2008