BETH A WESTELL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****96

License Status

NOT RENEWED

Business

First Name

BETH A

Last Name

WESTELL

Suffix

Business Name

BETH A WESTELL OD

Original Issue Date

10/09/1996

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006