PAUL BRYAN STAUDER OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934207

License Status

CANCELLED

Business

First Name

PAUL

Middle

BRYAN

Last Name

STAUDER

Suffix

Business Name

PAUL BRYAN STAUDER OD

Original Issue Date

05/13/2008

Effective Date

05/13/2008

Expiration Date

03/31/2010

City

PANA

State

Zip

62557

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

05/04/2010