THEBE BAGWASI OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****78

License Status

ACTIVE

Business

First Name

THEBE

Last Name

BAGWASI

Suffix

Business Name

THEBE BAGWASI OD

Original Issue Date

02/05/2026

Effective Date

02/05/2026

Expiration Date

03/31/2028

City

VALLEY PARK

State

Zip

63088

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

02/05/2026