ERIN LEE SEARFOSS Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****75

License Status

CANCELLED

Business

First Name

ERIN

Middle

LEE

Last Name

SEARFOSS

Business Name

ERIN LEE SEARFOSS

Original Issue Date

04/20/2010

Effective Date

04/20/2010

Expiration Date

03/31/2012

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012