REBECCA L PECK Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****08

License Status

CANCELLED

Business

First Name

REBECCA L

Last Name

PECK

Business Name

REBECCA L PECK

Original Issue Date

02/06/1997

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

FULTON

State

Zip

61252

County

WHITESIDE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/10/2008