DAVID A SANDERS Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****69

License Status

NOT RENEWED

Business

First Name

DAVID A

Last Name

SANDERS

Business Name

DAVID A SANDERS

Original Issue Date

05/30/1996

Effective Date

01/31/2012

Expiration Date

03/31/2014

City

NEWTON

State

Zip

62448

County

JASPER

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/06/2014