CHARLES E MAROLD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****02

License Status

NOT RENEWED

Business

First Name

CHARLES E

Last Name

MAROLD

Business Name

CHARLES E MAROLD

Original Issue Date

09/11/1997

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006