ELISA JO SKADAHL-KURT OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935006

License Status

CANCELLED

Business

Title

First Name

ELISA

Middle

Last Name

SKADAHL-KURT

Business Name

ELISA JO SKADAHL-KURT OD

Original Issue Date

01/13/2009

Effective Date

01/13/2009

Expiration Date

03/31/2010

City

KEWANEE

State

Zip

61443

County

HENRY

Ever Disciplined

LastModifiedDate

05/04/2010