BETH A WESTELL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****86

License Status

NOT RENEWED

Business

First Name

BETH A

Last Name

WESTELL

Suffix

Business Name

BETH A WESTELL OD

Original Issue Date

11/29/2000

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006