ERIC R WEINBAUER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****03

License Status

NOT RENEWED

Business

Title

First Name

ERIC

Middle

Last Name

WEINBAUER

Business Name

ERIC R WEINBAUER OD

Original Issue Date

07/11/2006

Effective Date

02/06/2008

Expiration Date

03/31/2010

City

MC LEANSBORO

State

Zip

62859

County

HAMILTON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/04/2010