LEO S RIEGER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****84

License Status

NOT RENEWED

Business

First Name

LEO

Middle

Last Name

RIEGER

Suffix

Business Name

LEO S RIEGER OD

Original Issue Date

09/29/1999

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005