DAVID D ERNST 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

DAVID

Middle

Last Name

ERNST

Business Name

DAVID D ERNST

Original Issue Date

07/15/2009

Effective Date

02/04/2016

Expiration Date

03/31/2018

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Controlled Substance Schedule

III IV

Ever Disciplined

LastModifiedDate

06/19/2018