ROGER A LAMB Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****09

License Status

NOT RENEWED

Business

First Name

ROGER A

Last Name

LAMB

Business Name

ROGER A LAMB

Original Issue Date

05/30/1996

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

LAWRENCEVILLE

State

Zip

62439

County

LAWRENCE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/04/2010