DAVID T SPENGEL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****05

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

SPENGEL

Suffix

Business Name

DAVID T SPENGEL OD

Original Issue Date

03/05/1999

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60629

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021