SHARON SAUM BURRUSS OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931160

License Status

CANCELLED

Business

First Name

SHARON

Middle

SAUM

Last Name

BURRUSS

Suffix

Business Name

SHARON SAUM BURRUSS OD

Original Issue Date

05/04/2005

Effective Date

04/10/2008

Expiration Date

03/31/2010

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

05/04/2010