STEPHANIE A LOY Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****06

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

LOY

Business Name

STEPHANIE A LOY

Original Issue Date

06/28/2011

Effective Date

01/22/2014

Expiration Date

03/31/2016

City

MATTOON

State

Zip

61938

County

COLES

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/20/2016