BETH ANN WALMER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****94

License Status

NOT RENEWED

Business

First Name

BETH

Middle

ANN

Last Name

WALMER

Suffix

Business Name

BETH ANN WALMER OD

Original Issue Date

09/09/1997

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

KEWANEE

State

Zip

61443

County

HENRY

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005