OLIVIA L BOEHNKE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****85

License Status

NOT RENEWED

Business

Title

First Name

OLIVIA

Middle

Last Name

BOEHNKE

Business Name

OLIVIA L BOEHNKE OD

Original Issue Date

05/03/2022

Effective Date

05/03/2022

Expiration Date

03/31/2024

City

BENTON

State

Zip

62812

County

FRANKLIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025