MICAH ANN BRASEL OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****69

License Status

ACTIVE

Business

First Name

MICAH

Middle

ANN

Last Name

BRASEL

Suffix

Business Name

MICAH ANN BRASEL OD

Original Issue Date

10/12/2010

Effective Date

02/27/2026

Expiration Date

03/31/2028

City

VANDALIA

State

Zip

62471

County

FAYETTE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/27/2026