JEREMY A BEATTY OD - Optometrist License in Missouri | # 34*****26

JEREMY A BEATTY OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****26

License Status

NOT RENEWED

Business

N

First Name

JEREMY

Middle

A

Last Name

BEATTY

Suffix

OD

Business Name

JEREMY A BEATTY OD

Original Issue Date

04/14/2008

Effective Date

03/30/2010

Expiration Date

03/31/2012

State

MO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

N

LastModifiedDate

05/16/2012