JANE C COUNCIL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****41

License Status

NOT RENEWED

Business

Title

First Name

JANE

Middle

Last Name

COUNCIL

Business Name

JANE C COUNCIL OD

Original Issue Date

07/05/2012

Effective Date

04/29/2022

Expiration Date

03/31/2024

City

ELKRIDGE

State

Zip

21075

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025