JOEL JAMES BAATZ OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****67

License Status

NOT RENEWED

Business

First Name

JOEL

Middle

JAMES

Last Name

BAATZ

Suffix

Business Name

JOEL JAMES BAATZ OD

Original Issue Date

09/14/1999

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

FULTON

State

Zip

61252

County

WHITESIDE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005