JILL M MOGIL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****82

License Status

NOT RENEWED

Business

Title

First Name

JILL

Middle

Last Name

MOGIL

Business Name

JILL M MOGIL OD

Original Issue Date

06/10/2010

Effective Date

03/28/2018

Expiration Date

09/30/2020

City

RICHMOND HEIGHTS

State

Zip

63117

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021