JACQUELINE ELAINE BULLARD OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****08

License Status

ACTIVE

Business

Title

First Name

JACQUELINE

Middle

ELAINE

Last Name

BULLARD

Business Name

JACQUELINE ELAINE BULLARD OD

Original Issue Date

09/27/2017

Effective Date

03/18/2026

Expiration Date

03/31/2028

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/18/2026