SABRINA MARIE SHULTZ OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****22

License Status

NOT RENEWED

Business

First Name

SABRINA

Middle

MARIE

Last Name

SHULTZ

Suffix

Business Name

SABRINA MARIE SHULTZ OD

Original Issue Date

11/16/2018

Effective Date

04/02/2022

Expiration Date

03/31/2024

City

GLEN CARBON

State

Zip

62034

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025