BARBARA E OTT OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935261

License Status

CANCELLED

Business

First Name

BARBARA E

Last Name

OTT

Suffix

Business Name

BARBARA E OTT OD

Original Issue Date

04/16/2009

Effective Date

04/16/2009

Expiration Date

03/31/2010

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/04/2010