JULIE B HENDRICKS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****29

License Status

NOT RENEWED

Business

Title

First Name

JULIE B

Last Name

HENDRICKS

Business Name

JULIE B HENDRICKS OD

Original Issue Date

04/03/2014

Effective Date

04/03/2014

Expiration Date

03/31/2016

City

MARYVILLE

State

Zip

62062

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016