ANNA KATHRYN BEDWELL OD 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

ANNA

Middle

KATHRYN

Last Name

BEDWELL

Suffix

Business Name

ANNA KATHRYN BEDWELL OD

Original Issue Date

06/29/2010

Effective Date

06/29/2010

Expiration Date

03/31/2012

City

INDIANAPOLIS

State

Zip

46202

County

INDIANA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012