DEBRA ANN HALL OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931418

License Status

CANCELLED

Business

Title

First Name

DEBRA

Middle

ANN

Last Name

HALL

Business Name

DEBRA ANN HALL OD

Original Issue Date

08/25/2005

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

05/04/2010