ELISA JO SKADAHL-KURT OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****58

License Status

NOT RENEWED

Business

Title

First Name

ELISA

Middle

Last Name

SKADAHL-KURT

Business Name

ELISA JO SKADAHL-KURT OD

Original Issue Date

10/15/2008

Effective Date

02/26/2014

Expiration Date

03/31/2016

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016