AMANDA J STOTT OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932510

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

STOTT

Suffix

Business Name

AMANDA J STOTT OD

Original Issue Date

09/12/2006

Effective Date

09/12/2006

Expiration Date

03/31/2008

City

ROCKFORD

State

Zip

61112

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/02/2008