MELISSA ANN LIEPINS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****09

License Status

NOT RENEWED

Business

Title

First Name

MELISSA

Middle

ANN

Last Name

LIEPINS

Business Name

MELISSA ANN LIEPINS OD

Original Issue Date

06/28/2011

Effective Date

03/02/2012

Expiration Date

03/31/2014

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

01/09/2014