KARA LYNN TISON Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****35

License Status

NOT RENEWED

Business

First Name

KARA

Middle

LYNN

Last Name

TISON

Business Name

KARA LYNN TISON

Original Issue Date

06/28/2012

Effective Date

06/28/2012

Expiration Date

03/31/2014

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/09/2014