ANGELA JO ERNST Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****54

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

Last Name

ERNST

Business Name

ANGELA JO ERNST

Original Issue Date

10/02/2000

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

CANTON

State

Zip

61520

County

FULTON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005