RAVINA RYAN STURGEON OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****03

License Status

INACTIVE

Business

First Name

RAVINA

Middle

RYAN

Last Name

STURGEON

Suffix

Business Name

RAVINA RYAN STURGEON OD

Original Issue Date

11/21/2002

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

GLEN CARBON

State

Zip

62034

County

MADISON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

02/06/2006