SAMANTHA DAWN JANSEN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046011225

License Status

NOT RENEWED

Business

Title

First Name

SAMANTHA

Middle

DAWN

Last Name

JANSEN

Business Name

SAMANTHA DAWN JANSEN OD

Original Issue Date

08/02/2018

Effective Date

03/12/2022

Expiration Date

03/31/2024

City

PERRY

State

Zip

66073

Ever Disciplined

LastModifiedDate

02/05/2025