ALEX N MANERA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****50

License Status

NOT RENEWED

Business

First Name

ALEX N

Last Name

MANERA

Suffix

Business Name

ALEX N MANERA OD

Original Issue Date

05/16/1996

Effective Date

03/05/2012

Expiration Date

03/31/2014

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/06/2014