AMANDA J STOTT OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****53

License Status

INACTIVE

Business

First Name

AMANDA

Middle

Last Name

STOTT

Suffix

Business Name

AMANDA J STOTT OD

Original Issue Date

03/22/2016

Effective Date

03/22/2016

Expiration Date

03/31/2018

City

STOCKTON

State

Zip

61085

County

JO DAVIESS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/12/2018