SHARON SAUM BURRUSS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932552

License Status

NOT RENEWED

Business

First Name

SHARON

Middle

SAUM

Last Name

BURRUSS

Suffix

Business Name

SHARON SAUM BURRUSS OD

Original Issue Date

10/11/2006

Effective Date

10/11/2006

Expiration Date

03/31/2008

City

BENTON

State

Zip

62812

County

FRANKLIN

Ever Disciplined

LastModifiedDate

05/02/2008