AMY LYNN PETKUS OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010656

License Status

INACTIVE

Business

First Name

AMY

Middle

LYNN

Last Name

PETKUS

Suffix

Business Name

AMY LYNN PETKUS OD

Original Issue Date

06/04/2013

Effective Date

06/04/2013

Expiration Date

03/31/2014

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

01/09/2014