NINA MARIE RETTIG OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****10

License Status

INACTIVE

Business

Title

First Name

NINA

Middle

MARIE

Last Name

RETTIG

Business Name

NINA MARIE RETTIG OD

Original Issue Date

07/15/2021

Effective Date

03/16/2022

Expiration Date

03/31/2024

City

PEORIA

State

Zip

61615

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/04/2024