STACY POTWIN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010321

License Status

NOT RENEWED

Business

First Name

STACY

Last Name

POTWIN

Business Name

STACY POTWIN

Original Issue Date

05/13/2010

Effective Date

01/25/2012

Expiration Date

03/31/2014

City

CHARLESTON

State

Zip

25314

Ever Disciplined

LastModifiedDate

05/06/2014