MERVI H LEYENDECKERS OD Optometrist License verification

Business Entity

INOPERATIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****21

License Status

INOPERATIVE

Business

First Name

MERVI H

Last Name

LEYENDECKERS

Suffix

Business Name

MERVI H LEYENDECKERS OD

Original Issue Date

05/22/1996

Effective Date

03/06/2024

Expiration Date

03/31/2026

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/08/2026