AMBER STAR EGBERT OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046011053

License Status

INACTIVE

Business

Title

First Name

AMBER

Middle

STAR

Last Name

EGBERT

Business Name

AMBER STAR EGBERT OD

Original Issue Date

07/19/2016

Effective Date

01/16/2018

Expiration Date

09/30/2020

City

LADSON

State

Zip

29456

Ever Disciplined

LastModifiedDate

01/04/2020