DAVID DICK OD - Optometrist License in Texas | # 34*****63

DAVID DICK OD

Business Entity

CANCELLED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****63

License Status

CANCELLED

Business

N

First Name

DAVID

Last Name

DICK

Suffix

OD

Business Name

DAVID DICK OD

Original Issue Date

05/26/1998

Effective Date

04/05/2004

Expiration Date

03/31/2006

State

TX

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

IV

Ever Disciplined

N

LastModifiedDate

01/18/2006