BRANT T MOLENAAR OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****59

License Status

NOT RENEWED

Business

First Name

BRANT T

Last Name

MOLENAAR

Suffix

Business Name

BRANT T MOLENAAR OD

Original Issue Date

08/20/1996

Effective Date

03/28/2018

Expiration Date

09/30/2020

City

LANSING

State

Zip

60438

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021