JULIE B HENDRICKS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****62

License Status

NOT RENEWED

Business

Title

First Name

JULIE B

Last Name

HENDRICKS

Business Name

JULIE B HENDRICKS OD

Original Issue Date

03/16/2004

Effective Date

07/02/2018

Expiration Date

09/30/2020

City

GODFREY

State

Zip

62035

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021