DIRK JUSTIN BOCHNER Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****80

License Status

NOT RENEWED

Business

First Name

DIRK

Middle

JUSTIN

Last Name

BOCHNER

Business Name

DIRK JUSTIN BOCHNER

Original Issue Date

11/20/2006

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/04/2010