CARRIE ANN MENET OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****06

License Status

NOT RENEWED

Business

First Name

CARRIE

Middle

ANN

Last Name

MENET

Suffix

Business Name

CARRIE ANN MENET OD

Original Issue Date

09/30/2009

Effective Date

03/04/2016

Expiration Date

03/31/2018

City

DIXON

State

Zip

61021

County

LEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/19/2018