AUSTIN CODY KROHN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934130

License Status

CANCELLED

Business

First Name

AUSTIN

Middle

CODY

Last Name

KROHN

Suffix

Business Name

AUSTIN CODY KROHN OD

Original Issue Date

04/22/2008

Effective Date

04/22/2008

Expiration Date

03/31/2010

City

PITTSFIELD

State

Zip

62363

County

PIKE

Ever Disciplined

LastModifiedDate

05/04/2010