MATTHEW KYLE ANDERSON OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010714

License Status

INACTIVE

Business

Title

First Name

MATTHEW

Middle

KYLE

Last Name

ANDERSON

Business Name

MATTHEW KYLE ANDERSON OD

Original Issue Date

07/19/2013

Effective Date

03/06/2014

Expiration Date

03/31/2016

City

BLOOMINGTON

State

Zip

55420

County

MINNESOTA

Ever Disciplined

LastModifiedDate

02/03/2016