EMILY ANNE SMITH OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933413

License Status

CANCELLED

Business

First Name

EMILY

Middle

ANNE

Last Name

SMITH

Suffix

Business Name

EMILY ANNE SMITH OD

Original Issue Date

09/24/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

STEELEVILLE

State

Zip

62288

County

RANDOLPH

Ever Disciplined

LastModifiedDate

05/04/2010