DAVID ALAN BALFOUR OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007365

License Status

INACTIVE

Business

First Name

DAVID

Middle

ALAN

Last Name

BALFOUR

Suffix

Business Name

DAVID ALAN BALFOUR OD

Original Issue Date

08/07/1980

Effective Date

03/19/2012

Expiration Date

03/31/2014

City

BUSHNELL

State

Zip

61422

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

01/09/2014

Case Number

1990005531

Action

Probation

Discipline Start Date

05/03/1991

Discipline End Date

05/03/1993

Discipline Reason

Failed to submit proof of required continuing education hours.