KELLY A SANDERS OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931519

License Status

CANCELLED

Business

First Name

KELLY

Middle

Last Name

SANDERS

Suffix

Business Name

KELLY A SANDERS OD

Original Issue Date

09/30/2005

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

05/04/2010