SE CECELIA XIONG OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****00

License Status

NOT RENEWED

Business

First Name

Middle

CECELIA

Last Name

XIONG

Suffix

Business Name

SE CECELIA XIONG OD

Original Issue Date

04/22/2005

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/02/2008