BARBARA E OTT OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934309

License Status

CANCELLED

Business

First Name

BARBARA E

Last Name

OTT

Suffix

Business Name

BARBARA E OTT OD

Original Issue Date

06/18/2008

Effective Date

06/18/2008

Expiration Date

03/31/2010

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/04/2010