SARAH REBECCA BURGETT 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

SARAH

Middle

REBECCA

Last Name

BURGETT

Business Name

SARAH REBECCA BURGETT OD

Original Issue Date

10/22/2012

Effective Date

01/12/2018

Expiration Date

09/30/2020

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021