ALICIA TRIPLETT JANSSEN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****24

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

03/26/2018

Expiration Date

09/30/2020

City

BENLD

State

Zip

62009

County

MACOUPIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021