VERA GOMES DEMASI OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****08

License Status

NOT RENEWED

Business

First Name

VERA

Middle

GOMES

Last Name

DEMASI

Suffix

Business Name

VERA GOMES DEMASI OD

Original Issue Date

10/19/2005

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/02/2008