CHASE AARON RUDOLPH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****58

License Status

NOT RENEWED

Business

First Name

CHASE

Middle

AARON

Last Name

RUDOLPH

Suffix

Business Name

CHASE AARON RUDOLPH OD

Original Issue Date

04/18/2017

Effective Date

03/15/2018

Expiration Date

09/30/2020

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021