RACHEL LYNN PENNEY OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934660

License Status

CANCELLED

Business

First Name

RACHEL

Middle

LYNN

Last Name

PENNEY

Suffix

Business Name

RACHEL LYNN PENNEY OD

Original Issue Date

09/17/2008

Effective Date

09/17/2008

Expiration Date

03/31/2010

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/04/2010