JACQUELYN ANN BONGARD OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046011853

License Status

ACTIVE

Business

Title

First Name

JACQUELYN

Middle

ANN

Last Name

BONGARD

Business Name

JACQUELYN ANN BONGARD OD

Original Issue Date

06/21/2024

Effective Date

03/15/2026

Expiration Date

03/31/2028

City

SAINT LOUIS

State

Zip

63121

Ever Disciplined

LastModifiedDate

03/15/2026