JOHN ALLEN LAPP Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****04

License Status

NOT RENEWED

Business

First Name

JOHN ALLEN

Last Name

LAPP

Business Name

JOHN ALLEN LAPP

Original Issue Date

04/15/1996

Effective Date

03/19/2018

Expiration Date

09/30/2020

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021