JON L WOODS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****28

License Status

NOT RENEWED

Business

First Name

JON

Middle

Last Name

WOODS

Suffix

Business Name

JON L WOODS OD

Original Issue Date

05/30/1996

Effective Date

03/12/2014

Expiration Date

03/31/2016

City

MASCOUTAH

State

Zip

62258

County

SAINT CLAIR

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016