JACQUELINE ANNE CROW OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****30

License Status

ACTIVE

Business

First Name

JACQUELINE

Middle

ANNE

Last Name

CROW OD

Business Name

JACQUELINE ANNE CROW OD

Original Issue Date

04/03/2018

Effective Date

01/28/2026

Expiration Date

03/31/2028

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/28/2026