RACHEL SUZANNE DAVIS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****61

License Status

NOT RENEWED

Business

Title

First Name

RACHEL

Middle

SUZANNE

Last Name

DAVIS

Business Name

RACHEL SUZANNE DAVIS OD

Original Issue Date

06/25/2007

Effective Date

08/17/2012

Expiration Date

03/31/2014

City

LAFAYETTE

State

Zip

70506

County

LOUISIANA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/06/2014