TODD ERIC BELLAMY OD - Optometrist License in Missouri | # 34*****44

TODD ERIC BELLAMY OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****44

License Status

NOT RENEWED

Business

N

First Name

TODD

Middle

ERIC

Last Name

BELLAMY

Suffix

OD

Business Name

TODD ERIC BELLAMY OD

Original Issue Date

09/14/2000

Effective Date

04/15/2002

Expiration Date

03/31/2002

State

MO

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

IV

Ever Disciplined

N

LastModifiedDate

09/11/2005