JAMIE ELLEN TAFFORA 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

JAMIE

Middle

ELLEN

Last Name

TAFFORA

Suffix

Business Name

JAMIE ELLEN TAFFORA OD

Original Issue Date

02/20/2009

Effective Date

02/20/2009

Expiration Date

03/31/2010

City

SCHERERVILLE

State

Zip

46375

County

LAKE

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/04/2010