NAOMI CARA D'ENTREMONT 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

NAOMI

Middle

CARA

Last Name

D'ENTREMONT

Business Name

NAOMI CARA D'ENTREMONT OD

Original Issue Date

08/18/2009

Effective Date

08/18/2009

Expiration Date

03/31/2010

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/04/2010