SARAH ANN STIENBARGER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****97

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

ANN

Last Name

STIENBARGER

Suffix

Business Name

SARAH ANN STIENBARGER OD

Original Issue Date

08/15/2003

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005