STEPHANIE LYNN SUITS 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

STEPHANIE

Middle

LYNN

Last Name

SUITS

Business Name

STEPHANIE LYNN SUITS

Original Issue Date

09/11/2007

Effective Date

05/07/2014

Expiration Date

03/31/2016

City

MORTON

State

Zip

61550

County

TAZEWELL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016