AMY D SMITH OD Optometrist License verification

Business Entity

INOPERATIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****03

License Status

INOPERATIVE

Business

First Name

AMY D

Last Name

SMITH

Suffix

Business Name

AMY D SMITH OD

Original Issue Date

06/13/1996

Effective Date

02/17/2000

Expiration Date

03/31/2002

City

LAS VEGAS

State

Zip

89117

County

NEVADA

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005