AMANDA J STOTT OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934049

License Status

CANCELLED

Business

First Name

AMANDA

Middle

Last Name

STOTT

Suffix

Business Name

AMANDA J STOTT OD

Original Issue Date

04/03/2008

Effective Date

04/03/2008

Expiration Date

03/31/2010

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/04/2010