MICHAEL ANTHONY SANTARLAS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****10

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

ANTHONY

Last Name

SANTARLAS

Suffix

Business Name

MICHAEL ANTHONY SANTARLAS OD

Original Issue Date

09/26/2003

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006