MAUREEN J RADDATZ OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****88

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

02/24/2004

Expiration Date

03/31/2006

City

VIENNA

State

Zip

62995

County

JOHNSON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/11/2006