SE CECELIA XIONG OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****83

License Status

NOT RENEWED

Business

First Name

Middle

CECELIA

Last Name

XIONG

Suffix

Business Name

SE CECELIA XIONG OD

Original Issue Date

11/20/2006

Effective Date

11/20/2006

Expiration Date

03/31/2008

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/02/2008