ERIC R WEINBAUER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****60

License Status

NOT RENEWED

Business

Title

First Name

ERIC

Middle

Last Name

WEINBAUER

Business Name

ERIC R WEINBAUER OD

Original Issue Date

08/25/2005

Effective Date

02/06/2008

Expiration Date

03/31/2010

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/04/2010