JULIE B HENDRICKS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****20

License Status

NOT RENEWED

Business

Title

First Name

JULIE B

Last Name

HENDRICKS

Business Name

JULIE B HENDRICKS OD

Original Issue Date

01/27/2014

Effective Date

03/09/2018

Expiration Date

09/30/2020

City

GLEN CARBON

State

Zip

62034

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021