RICHARD S NEWCOMB Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****08

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

Last Name

NEWCOMB

Business Name

RICHARD S NEWCOMB

Original Issue Date

05/30/1996

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/18/2006