BETH A WESTELL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****47

License Status

NOT RENEWED

Business

First Name

BETH A

Last Name

WESTELL

Suffix

Business Name

BETH A WESTELL OD

Original Issue Date

08/08/2005

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

BENTON

State

Zip

62812

County

FRANKLIN

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/04/2010