EMILY ELLEN SKIBO Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****48

License Status

NOT RENEWED

Business

First Name

EMILY

Middle

ELLEN

Last Name

SKIBO

Business Name

EMILY ELLEN SKIBO

Original Issue Date

09/30/2008

Effective Date

09/30/2008

Expiration Date

03/31/2010

City

BENTON

State

Zip

62812

County

FRANKLIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/04/2010