YANNA T KISALA Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010143

License Status

INACTIVE

Business

First Name

YANNA

Middle

Last Name

KISALA

Business Name

YANNA T KISALA

Original Issue Date

07/25/2008

Effective Date

07/25/2008

Expiration Date

03/31/2010

City

EDGERTON

State

Zip

53534

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/05/2010