ERIC D OBRIEN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****07

License Status

NOT RENEWED

Business

Title

First Name

ERIC

Middle

Last Name

OBRIEN

Business Name

ERIC D OBRIEN OD

Original Issue Date

09/20/2017

Effective Date

02/26/2020

Expiration Date

05/31/2022

City

QUINCY

State

Zip

62305

County

ADAMS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022