SARAH ANN MACHALA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****38

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

ANN

Last Name

MACHALA

Suffix

Business Name

SARAH ANN MACHALA OD

Original Issue Date

10/04/2004

Effective Date

06/25/2012

Expiration Date

03/31/2014

City

GALENA

State

Zip

61036

County

JO DAVIESS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/06/2014