MARY K LAMPE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****68

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

LAMPE

Suffix

Business Name

MARY K LAMPE OD

Original Issue Date

06/10/1998

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

VANDALIA

State

Zip

62471

County

FAYETTE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006