LORI A FEEZOR-RIBBLE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****99

License Status

NOT RENEWED

Business

First Name

LORI

Middle

Last Name

FEEZOR-RIBBLE

Suffix

Business Name

LORI A FEEZOR-RIBBLE OD

Original Issue Date

09/11/1997

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/02/2008