RODGER C JENKINS 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

RODGER C

Last Name

JENKINS

Business Name

RODGER C JENKINS

Original Issue Date

07/07/1996

Effective Date

02/27/2004

Expiration Date

03/31/2006

City

MCLEANSBORO

State

Zip

62859

County

JACKSON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/11/2006