CHRISTINE MARIE VERBECK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****77

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Middle

MARIE

Last Name

VERBECK

Suffix

Business Name

CHRISTINE MARIE VERBECK OD

Original Issue Date

04/29/2010

Effective Date

04/29/2010

Expiration Date

03/31/2012

City

OLNEY

State

Zip

62450

County

RICHLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012