BRIAN RAYMOND REPKING OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****87

License Status

NOT RENEWED

Business

Title

First Name

BRIAN

Middle

RAYMOND

Last Name

REPKING

Business Name

BRIAN RAYMOND REPKING OD

Original Issue Date

07/21/2015

Effective Date

01/12/2018

Expiration Date

09/30/2020

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021