CHAD MICHAEL PARKS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010792

License Status

NOT RENEWED

Business

Title

First Name

CHAD

Middle

MICHAEL

Last Name

PARKS

Business Name

CHAD MICHAEL PARKS OD

Original Issue Date

06/04/2014

Effective Date

02/20/2020

Expiration Date

05/31/2022

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/27/2022