AMANDA J ADKISSON Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****61

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

ADKISSON

Business Name

AMANDA J ADKISSON

Original Issue Date

07/08/2020

Effective Date

03/15/2022

Expiration Date

03/31/2024

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025