CHRISTINE MARIE VERBECK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****45

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Middle

MARIE

Last Name

VERBECK

Suffix

Business Name

CHRISTINE MARIE VERBECK OD

Original Issue Date

08/11/1999

Effective Date

03/09/2010

Expiration Date

03/31/2012

City

LAWRENCEVILLE

State

Zip

62439

County

LAWRENCE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012