Optometrist
LICENSED OPTOMETRIST
046005855
NOT RENEWED
N
L
S
CHADWICK
OD
L S CHADWICK OD
11/10/1955
03/14/2014
03/31/2016
GALESBURG
IL
61401
KNOX
Y
05/20/2016
1990005570
Fine
03/28/1991
Failed to submit proof of required continuing education hours.