MEGAN VANDER VEEN MOSLEY Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935845

License Status

CANCELLED

Business

First Name

MEGAN

Middle

VANDER VEEN

Last Name

MOSLEY

Business Name

MEGAN VANDER VEEN MOSLEY

Original Issue Date

11/12/2009

Effective Date

11/12/2009

Expiration Date

03/31/2010

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

05/04/2010