JEREMY A BEATTY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****26

License Status

NOT RENEWED

Business

First Name

JEREMY

Middle

Last Name

BEATTY

Suffix

Business Name

JEREMY A BEATTY OD

Original Issue Date

04/14/2008

Effective Date

03/30/2010

Expiration Date

03/31/2012

City

SAINT LOUIS

State

Zip

63119

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012