JENNIFER GOOCH MCKAY OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****31

License Status

CANCELLED

Business

First Name

JENNIFER

Middle

GOOCH

Last Name

MCKAY

Suffix

Business Name

JENNIFER GOOCH MCKAY OD

Original Issue Date

07/10/2002

Effective Date

11/10/2004

Expiration Date

03/31/2006

City

GODFREY

State

Zip

62035

County

MADISON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006