JEFFREY D BOWMAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****15

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

Last Name

BOWMAN

Suffix

Business Name

JEFFREY D BOWMAN OD

Original Issue Date

11/10/2005

Effective Date

03/22/2018

Expiration Date

09/30/2020

City

SPARTA

State

Zip

62286

County

RANDOLPH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021