SHARON SAUM BURRUSS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****36

License Status

NOT RENEWED

Business

First Name

SHARON

Middle

SAUM

Last Name

BURRUSS

Suffix

Business Name

SHARON SAUM BURRUSS OD

Original Issue Date

07/28/2005

Effective Date

02/28/2014

Expiration Date

03/31/2016

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016