AMBER RENEE MORELAND OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931404

License Status

CANCELLED

Business

First Name

AMBER

Middle

RENEE

Last Name

MORELAND

Suffix

Business Name

AMBER RENEE MORELAND OD

Original Issue Date

08/25/2005

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CHESTER

State

Zip

62233

County

RANDOLPH

Ever Disciplined

LastModifiedDate

05/04/2010