SHAWNA LANETTE HEDDINGHAUS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****43

License Status

NOT RENEWED

Business

First Name

SHAWNA

Middle

LANETTE

Last Name

HEDDINGHAUS

Suffix

Business Name

SHAWNA LANETTE HEDDINGHAUS OD

Original Issue Date

08/11/1999

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

GILLESPIE

State

Zip

62033

County

MACOUPIN

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006