KAREN SUE CYCOTTE Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****12

License Status

NOT RENEWED

Business

First Name

KAREN SUE

Last Name

CYCOTTE

Business Name

KAREN SUE CYCOTTE

Original Issue Date

05/22/1996

Effective Date

03/08/2012

Expiration Date

03/31/2014

City

DECATUR

State

Zip

62521

County

MACON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/09/2014