GREGORY MAXWELL NEW Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****09

License Status

ACTIVE

Business

First Name

GREGORY

Middle

MAXWELL

Last Name

NEW

Business Name

GREGORY MAXWELL NEW

Original Issue Date

10/07/2009

Effective Date

03/22/2026

Expiration Date

03/31/2028

City

MOLINE

State

Zip

61625

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/22/2026