RICHARD B HAMM OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****70

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

Last Name

HAMM

Suffix

Business Name

RICHARD B HAMM OD

Original Issue Date

06/04/1996

Effective Date

02/06/2004

Expiration Date

03/31/2006

City

MASCOUTAH

State

Zip

62258

County

SAINT CLAIR

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/11/2006