MOLLY KRISTINA GORDER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****27

License Status

NOT RENEWED

Business

Title

First Name

MOLLY

Middle

KRISTINA

Last Name

GORDER

Business Name

MOLLY KRISTINA GORDER OD

Original Issue Date

03/26/2018

Effective Date

03/26/2018

Expiration Date

09/30/2020

City

CHESTERFIELD

State

Zip

63005

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021