SARA S YUM OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932526

License Status

CANCELLED

Business

Title

First Name

SARA

Middle

Last Name

YUM

Business Name

SARA S YUM OD

Original Issue Date

09/18/2006

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/04/2010