TODD CORY GUNDERSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****05

License Status

NOT RENEWED

Business

First Name

TODD

Middle

CORY

Last Name

GUNDERSON

Suffix

Business Name

TODD CORY GUNDERSON OD

Original Issue Date

10/09/2001

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

HARRISBURG

State

Zip

62946

County

SALINE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/02/2008