WENDY SANDERS MAUBACH 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

WENDY

Last Name

SANDERS MAUBACH

Suffix

Business Name

WENDY SANDERS MAUBACH OD

Original Issue Date

10/08/2002

Effective Date

03/25/2016

Expiration Date

03/31/2018

City

LASALLE

State

Zip

61301

County

LA SALLE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/19/2018