WINONA MARIE RICHNO VAN HOUTEN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****12

License Status

NOT RENEWED

Business

First Name

WINONA

Middle

MARIE RICHNO

Last Name

VAN HOUTEN

Suffix

Business Name

WINONA MARIE RICHNO VAN HOUTEN OD

Original Issue Date

08/24/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

SPARTA

State

Zip

62286

County

RANDOLPH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/04/2010