SAMUEL SHELTON KILLION OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****95

License Status

NOT RENEWED

Business

Title

First Name

SAMUEL

Middle

SHELTON

Last Name

KILLION

Business Name

SAMUEL SHELTON KILLION OD

Original Issue Date

08/25/2023

Effective Date

08/25/2023

Expiration Date

03/31/2024

City

GODFREY

State

Zip

62035

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025