STACI W DUCKER Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****36

License Status

NOT RENEWED

Business

First Name

STACI

Middle

Last Name

DUCKER

Business Name

STACI W DUCKER

Original Issue Date

09/21/2016

Effective Date

05/27/2022

Expiration Date

03/31/2024

City

NORTH RIVERSIDE

State

Zip

60546

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025