JUSTIN FREDERICK GROENNERT OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****50

License Status

ACTIVE

Business

Title

First Name

JUSTIN

Middle

FREDERICK

Last Name

GROENNERT

Business Name

JUSTIN FREDERICK GROENNERT OD

Original Issue Date

06/09/2020

Effective Date

03/17/2026

Expiration Date

03/31/2028

City

LEBANON

State

Zip

62254

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2026