L S CHADWICK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****00

License Status

NOT RENEWED

Business

First Name

Middle

Last Name

CHADWICK

Suffix

Business Name

L S CHADWICK OD

Original Issue Date

06/27/2000

Effective Date

03/14/2014

Expiration Date

03/31/2016

City

GALESBURG

State

Zip

61401

County

KNOX

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/20/2016