MAUREEN J RADDATZ OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****86

License Status

NOT RENEWED

Business

Title

First Name

MAUREEN

Middle

Last Name

RADDATZ

Business Name

MAUREEN J RADDATZ OD

Original Issue Date

08/05/2003

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CARMI

State

Zip

62821

County

WHITE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/04/2010