DAVID C JENNINGS Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****81

License Status

NOT RENEWED

Business

First Name

DAVID C

Last Name

JENNINGS

Business Name

DAVID C JENNINGS

Original Issue Date

07/07/1996

Effective Date

03/21/2016

Expiration Date

03/31/2018

City

BAILEY

State

Zip

80421

County

WHITESIDE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/19/2018