DAWN L BOHNERT - Optometrist License in Indiana | # 34*****74

DAWN L BOHNERT

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****74

License Status

NOT RENEWED

Business

N

First Name

DAWN L

Last Name

BOHNERT

Business Name

DAWN L BOHNERT

Original Issue Date

04/08/1997

Effective Date

01/12/2000

Expiration Date

03/31/1998

State

IN

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

IV

Ever Disciplined

N

LastModifiedDate

09/02/2005