JANE A BACHMAN OD - Optometrist License in Illinois | # 34*****04

JANE A BACHMAN OD

Business Entity

INACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****04

License Status

INACTIVE

Business

N

First Name

JANE A

Last Name

BACHMAN

Suffix

OD

Business Name

JANE A BACHMAN OD

Original Issue Date

06/03/1996

Effective Date

03/10/2004

Expiration Date

03/31/2004

State

IL

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

IV

Ever Disciplined

N

LastModifiedDate

09/11/2005