KELLY A SANDERS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932174

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

SANDERS

Suffix

Business Name

KELLY A SANDERS OD

Original Issue Date

04/21/2006

Effective Date

04/21/2006

Expiration Date

03/31/2008

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/02/2008