MARY K LAMPE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****69

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

01/22/2010

Expiration Date

03/31/2012

City

HIGHLAND

State

Zip

62249

County

MADISON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012