NAOMI CARA D'ENTREMONT 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

NAOMI

Middle

CARA

Last Name

D'ENTREMONT

Business Name

NAOMI CARA D'ENTREMONT OD

Original Issue Date

08/18/2009

Effective Date

03/02/2010

Expiration Date

03/31/2012

City

MATTOON

State

Zip

61938

County

COLES

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012