ERIC BOTTS OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933102

License Status

CANCELLED

Business

First Name

ERIC

Last Name

BOTTS

Suffix

Business Name

ERIC BOTTS OD

Original Issue Date

06/26/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

05/04/2010