JENNIFER EBERLIN-NAGEL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****64

License Status

NOT RENEWED

Business

First Name

JENNIFER

Last Name

EBERLIN-NAGEL

Suffix

Business Name

JENNIFER EBERLIN-NAGEL OD

Original Issue Date

09/05/2002

Effective Date

05/27/2008

Expiration Date

03/31/2010

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/04/2010