PAUL BRYAN STAUDER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****85

License Status

NOT RENEWED

Business

First Name

PAUL

Middle

BRYAN

Last Name

STAUDER

Suffix

Business Name

PAUL BRYAN STAUDER OD

Original Issue Date

11/29/2000

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

MARION

State

Zip

62959

County

WILLIAMSON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006