MICHAEL F STAUDER Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****62

License Status

NOT RENEWED

Business

First Name

MICHAEL F

Last Name

STAUDER

Business Name

MICHAEL F STAUDER

Original Issue Date

07/31/1996

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006