ALICIA TRIPLETT JANSSEN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****25

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

06/25/2014

Expiration Date

03/31/2016

City

VIRDEN

State

Zip

62690

County

MACOUPIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016