SIJIA S NOTH OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933543

License Status

CANCELLED

Business

First Name

SIJIA

Middle

Last Name

NOTH

Suffix

Business Name

SIJIA S NOTH OD

Original Issue Date

11/01/2007

Effective Date

06/29/2009

Expiration Date

03/31/2010

City

FORSYTH

State

Zip

62535

County

MACON

Ever Disciplined

LastModifiedDate

05/04/2010