DAWN L BOHNERT Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****74

License Status

NOT RENEWED

Business

First Name

DAWN L

Last Name

BOHNERT

Business Name

DAWN L BOHNERT

Original Issue Date

04/08/1997

Effective Date

01/12/2000

Expiration Date

03/31/1998

City

MICHIGAN CITY

State

Zip

46360

County

INDIANA

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/02/2005