SABRINA MARIE SHULTZ OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****33

License Status

NOT RENEWED

Business

First Name

SABRINA

Middle

MARIE

Last Name

SHULTZ

Suffix

Business Name

SABRINA MARIE SHULTZ OD

Original Issue Date

02/17/2006

Effective Date

01/12/2018

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021