PENNY SUE WILLIAMS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****92

License Status

NOT RENEWED

Business

First Name

PENNY

Middle

SUE

Last Name

WILLIAMS

Suffix

Business Name

PENNY SUE WILLIAMS OD

Original Issue Date

11/17/1997

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005