ALICIA TRIPLETT JANSSEN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****22

License Status

NOT RENEWED

Business

Title

First Name

ALICIA

Middle

TRIPLETT

Last Name

JANSSEN

Business Name

ALICIA TRIPLETT JANSSEN OD

Original Issue Date

06/29/2011

Effective Date

04/26/2012

Expiration Date

03/31/2014

City

LINCOLN

State

Zip

62656

County

LOGAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/06/2014