RACHEL LYNN PENNEY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****37

License Status

NOT RENEWED

Business

First Name

RACHEL

Middle

LYNN

Last Name

PENNEY

Suffix

Business Name

RACHEL LYNN PENNEY OD

Original Issue Date

09/08/2008

Effective Date

09/08/2008

Expiration Date

03/31/2010

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/04/2010