ASHLEY BOATMAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****05

License Status

NOT RENEWED

Business

Title

First Name

ASHLEY

Last Name

BOATMAN

Business Name

ASHLEY BOATMAN OD

Original Issue Date

07/11/2016

Effective Date

03/11/2020

Expiration Date

05/31/2022

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/27/2022