ALEX JOHN AMANN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****50

License Status

NOT RENEWED

Business

Title

First Name

ALEX

Middle

JOHN

Last Name

AMANN

Business Name

ALEX JOHN AMANN OD

Original Issue Date

02/08/2017

Effective Date

01/12/2018

Expiration Date

09/30/2020

City

IMPERIAL

State

Zip

63052

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021