PAMELA A RIEDY OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934861

License Status

CANCELLED

Business

Title

First Name

PAMELA

Middle

Last Name

RIEDY

Business Name

PAMELA A RIEDY OD

Original Issue Date

11/17/2008

Effective Date

11/17/2008

Expiration Date

03/31/2010

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

05/04/2010