SANDRA JO WHITELEY Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****09

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

Last Name

WHITELEY

Business Name

SANDRA JO WHITELEY

Original Issue Date

04/16/2009

Effective Date

04/16/2009

Expiration Date

03/31/2010

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/04/2010