PAUL K ANTHONY OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934248

License Status

CANCELLED

Business

First Name

PAUL

Middle

Last Name

ANTHONY

Suffix

Business Name

PAUL K ANTHONY OD

Original Issue Date

05/30/2008

Effective Date

05/30/2008

Expiration Date

03/31/2010

City

SHELBYVILLE

State

Zip

62565

County

SHELBY

Ever Disciplined

LastModifiedDate

05/04/2010