SIJIA S NOTH OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933739

License Status

CANCELLED

Business

First Name

SIJIA

Middle

Last Name

NOTH

Suffix

Business Name

SIJIA S NOTH OD

Original Issue Date

01/28/2008

Effective Date

01/28/2008

Expiration Date

03/31/2010

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/04/2010