JACQUELINE ROSE HINDERKS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****51

License Status

NOT RENEWED

Business

Title

First Name

JACQUELINE

Middle

ROSE

Last Name

HINDERKS

Business Name

JACQUELINE ROSE HINDERKS OD

Original Issue Date

06/09/2020

Effective Date

06/09/2020

Expiration Date

05/31/2022

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/27/2022