JANE H HERMAN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****53

License Status

NOT RENEWED

Business

First Name

JANE H

Last Name

HERMAN

Business Name

JANE H HERMAN

Original Issue Date

06/04/1996

Effective Date

02/26/2018

Expiration Date

09/30/2020

City

MARION

State

Zip

62959

County

WILLIAMSON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021