SARA RENEE KURTIS OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931731

License Status

CANCELLED

Business

First Name

SARA

Middle

RENEE

Last Name

KURTIS

Suffix

Business Name

SARA RENEE KURTIS OD

Original Issue Date

02/17/2006

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

05/04/2010