TAYLOR JEAN CHESNUT Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****86

License Status

NOT RENEWED

Business

First Name

TAYLOR

Middle

JEAN

Last Name

CHESNUT

Business Name

TAYLOR JEAN CHESNUT

Original Issue Date

08/13/2018

Effective Date

08/13/2018

Expiration Date

09/30/2020

City

JOHNSTON

State

Zip

50131

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021