ALEX E BONK Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****41

License Status

INACTIVE

Business

First Name

ALEX

Middle

Last Name

BONK

Business Name

ALEX E BONK

Original Issue Date

07/23/2013

Effective Date

03/27/2022

Expiration Date

03/31/2024

City

MARYVILLE

State

Zip

37801

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/04/2024