ANGELA JOANN DEMETRULIAS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****96

License Status

NOT RENEWED

Business

Title

First Name

ANGELA

Middle

JOANN

Last Name

DEMETRULIAS

Business Name

ANGELA JOANN DEMETRULIAS OD

Original Issue Date

08/14/2014

Effective Date

08/14/2014

Expiration Date

03/31/2016

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016