LORIE MICHELLE MCREYNOLDS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****75

License Status

NOT RENEWED

Business

First Name

LORIE

Middle

MICHELLE

Last Name

MCREYNOLDS

Suffix

Business Name

LORIE MICHELLE MCREYNOLDS OD

Original Issue Date

12/04/2007

Effective Date

02/16/2012

Expiration Date

03/31/2014

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/06/2014