WENDY RUNYON OD 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

WENDY

Last Name

RUNYON

Suffix

Business Name

WENDY RUNYON OD

Original Issue Date

11/29/1999

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005