LAURA ELLEN WOOLDRIDGE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****49

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

ELLEN

Last Name

WOOLDRIDGE

Suffix

Business Name

LAURA ELLEN WOOLDRIDGE OD

Original Issue Date

10/02/1998

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/04/2010