ELIZABETH ALLYN APPEL OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935215

License Status

CANCELLED

Business

First Name

ELIZABETH

Middle

ALLYN

Last Name

APPEL

Suffix

Business Name

ELIZABETH ALLYN APPEL OD

Original Issue Date

04/07/2009

Effective Date

04/07/2009

Expiration Date

03/31/2010

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/04/2010