ELISA JO SKADAHL-KURT OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934810

License Status

CANCELLED

Business

Title

First Name

ELISA

Middle

Last Name

SKADAHL-KURT

Business Name

ELISA JO SKADAHL-KURT OD

Original Issue Date

10/30/2008

Effective Date

10/30/2008

Expiration Date

03/31/2010

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

05/04/2010